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Get Ust Forms Guidance - Tn.gov
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How to fill out the UST Forms Guidance - TN.gov online
This guide provides step-by-step instructions on completing the UST Forms Guidance - TN.gov online. Users will find detailed information designed to make the form-filling process straightforward and accessible.
Follow the steps to successfully complete the UST Forms Guidance online
- Press the ‘Get Form’ button to access the form and open it in your document editor.
- Begin with Part A - General Information. Fill in the site or facility name, street or highway address, city, zip code, county, and telephone number. Provide a brief description of the activities that require Class V permit authorization.
- Enter the USGS topographic coordinates for the injection well or facility location, including the quadrangle name, latitude, longitude, and ground elevation at the well location.
- Complete the fields regarding the owner of the injection well or facility. Include the owner's individual or firm name, address, and contact information.
- Next, describe the type and nature of the business related to the injection well or facility, and include the relevant standard industrial codes (SIC) reflecting the principal products or services.
- Enter the name and address of the legal contact responsible for the operation of the Class V injection well or facility.
- For the permit status, specify whether this is a new well/facility, a modification, or a reapplication for an existing one. Additionally, list any other permits or construction approvals received or applied for.
- Turn your attention to Part B - Facility Description. Provide information about the nature, type, and purpose of the injection well, as well as details regarding its operation, including its status and history if applicable.
- Provide a comprehensive description of the area of review in Part C, including groundwater uses, hydrology, population, sources of drinking water, and any potential impacts on surface water bodies.
- Conclude with Part D - Signature and Certification, ensuring the application is signed by the appropriate responsible person or authorized representative.
- After completing all sections, review the information for accuracy. Save the changes made to the document. You can choose to download, print, or share the completed form.
Complete your UST Forms and submit them online for a smooth process.
Electronic and mechanical components of the system, including shutoff devices, sensors, pressure or vacuum monitors, must be tested annually for proper operation Records of the test must be maintained for three years.
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