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  updated: April 2010   back to GHEH home   
     
 
Installation of monitoring wells, air injection wells, air sparging wells, and recovery wells  in Guilford County
Guilford County Well Rules Chaper 3 of the well rules is for DUMT well requirements.
DUMTCon Construction record for wells with daily use more than 10,000 gallons
DUMT APP Application for permit to construct a water supply well
MW Permit Application Application for Well Installation Permit, and Well Construction Record
MW Abandonment Well Abandonment Record
 
UST Forms
  Corective Action
UST - 61 24-Hour Release and UST Leak Reporting Form
  Soil Permiting
UST-70 Non-Discharge Permit Application for Soil Remediation Projects
UST-71 Certificate of Approval for Storage/Treatment of Soil Containing Petroleum Products
UST-72 Agreement for Land Application or Containment and Treatment of Soils Containing Petroleum Products on Private Lands
  Permits and Inspections
UST-2 Site Investigation Report for Permanent Closure or Change-in-Service of UST
UST-3 Notice of Intent: UST Permanent Closure of Change-in-Service
UST-4 Notice of Intent to Install Vapor or Groundwater Monitoring System
UST-5 Site Investigation Report for Installation of Vapor or Groundwater Monitoring System
UST-6A/B Notice of Intent to Install USTs
UST-7A Cathodic Protection Testing form for galvanic cathodic protection systems
UST-7B Cathodic Protection Testing form for impresses current cathodic protection systems
UST-8 Notification for Activities Involving Underground Storage Tanks
UST-10A UST Installation Inspection Checklist
UST-10B UST General Requirements Inspection Checklist
UST - 12 Closure Report Format Instructions
UST-13 Compartment Tank Notification
UST-15 Change of Ownership of UST System(s)
UST-15A Ownership of UST Systems
UST-16 Manual Tank Gauging Record
UST-17A UST Suspected Release 24 Hour Notice Form
UST-17B UST Suspected Release 7 Day Notice Form
UST-18 Application for Tax Certification
UST-19 Certification of Leak Detection Exempt for Suction Piping Associated with USTs
UST-20 Alternative Fuel Compatability Checklist
UST-21 Impressesd Current Cathodic Protection System 60-Day Record of Rectifier Operation
UST-22A Annual Overfill Prevention Operability Check
UST-22B Annual Interstitial Sensor Operability Check
UST-22C Annual Containment Sump Visual Inspections
UST-23A Triennial UST Spill Bucket Integrity Testing
UST-23B Triennial UST Containment Sump/UDC Integrity Testing
UST-23C Triennial UST Piping Integrity Testing
UST-23D Triennial UST Intertice Integrity Testing
   
State Cleanup Funds
  Eligibility Forms
  Changes effective 3/1/08 Memo
Memo Eligibility Application Form 01/09
  Eligibility Application Form (rev 01/09)
  Extra Tank Data Worksheet
  Extra Corrosion Protection & Spill Overflow worksheet
   
Financial Responsibility
  Chief Financial Officer Letter
  Certificate of Insurance (UST-FR1)
  Certification of Financial Responsibility
   
Federal Cleanup Funds
  Financial Data Request Form
   
Reasonable Rate Documents
  1998 and 2003 Reasonable Rates
  Directed Pre-approval Task Authorization Form
  nonDirected Pre-appoval Authorization Form
 
 
400 W. Market Street, Suite 300, Greensboro, NC 27401 | t :336. 641.7777 | f : 336.641.3730