Get Notice Of Intent To Permanently Close Form 422 New.doc - Adem Alabama

Filling out the Notice Of Intent To Permanently Close Form 422 is an essential step when notifying the Alabama Department of Environmental Management about the closure of underground storage tanks. This guide provides clear, step-by-step instructions for completing this form online, ensuring compliance and ease of use.

Follow the steps to fill out the form online effortlessly.

1. Click the ‘Get Form’ button to access the form and open it in an online editing tool.
2. Enter the date of notice at the top of the form. This is the date when you are submitting your intent to the ADEM.
3. Indicate whether you are closing tank(s) only, piping only, or both by checking the appropriate box.
4. Provide the scheduled date of closure, ensuring it is at least 30 days from the date of notice.
5. In section I, fill in the ownership details of the tank(s). Include the owner's name, mailing address, and facility name or company site identifier.
6. In section II, complete the location details of the tank(s) with the street address, city, state, zip code, and the county.
7. Fill out the contact information, including the area code and phone number of the primary contact person for this closing.
8. In section III, provide the name of the certified contractor responsible for the closure, along with their certification expiration date and company name.
9. In section IV, list the unique tank numbers for each tank being closed and specify details such as tank size and contents.
10. Finally, sign the form as the owner, ensuring that all sections are completed accurately before submission.
11. Once you have filled out the form, save your changes and choose to download, print, or share the form as needed.

Complete your documents online efficiently and ensure timely submission.