15A NCAC 02O .0302
(b) An owner, operator or guarantor, individually or collectively, shall meet the following criteria based on year‑end financial statements for the latest completed fiscal year.
(2) A cleanup cost factor determined by multiplying the following:
(3) A third party liability cost factor determined by multiplying the following:
(c) The owner or operator or guarantor, individually or collectively, shall each have a letter signed by the chief financial officer, worded as specified in Paragraph (g) of this Rule, and shall do one of the following:
(g) LETTER FROM CHIEF FINANCIAL OFFICER
I, [insert: name of chief financial officer], the chief financial officer of [insert: name and address of the owner, operator or guarantor] have prepared this letter in support of the use of [insert: "the financial test of self‑insurance," and/or "guarantee"] to demonstrate financial responsibility for [insert: "taking corrective action" or "compensating third parties for bodily injury and property damage"] caused by [insert: "sudden accidental releases" and/or "nonsudden accidental releases"] in the amount of at least [insert: dollar amount] per occurrence and [insert: dollar amount] annual aggregate arising from operating (an) underground storage tank(s).
Underground storage tanks at the following facilities are assured by this financial test by this [insert: "owner or operator," or "guarantor"]:
[List or attach the following information for each facility: the name and address of the facility where tanks assured by this financial test are located and facility number(s) assigned by the Department. If separate mechanisms or combinations of mechanisms are being used to assure any of the tanks at this facility, list each tank assured by this financial test.]
[When appropriate, include the following for Hazardous Waste Management Facilities, Hazardous Waste Storage Facilities, and Injection Wells:
A [insert: "financial test" or "guarantee"] is also used by this [insert: "owner, operator" or "guarantor"] to demonstrate evidence of financial responsibility in the following amounts under EPA regulations or state programs authorized by EPA under 40 CFR Parts 271 and 145:
EPA Regulations Amount
Closure (including 40 CFR 264.143 and 265-143) $____________
Post‑Closure Care (including 40 CFR 264.145 and 265.145) $____________
Liability Coverage (including 40 CFR 264.147 and 265.147) $____________
Corrective Action (including 40 CFR 264.101(b)) $____________
Plugging and Abandonment (including 40 CFR 144.63) $____________
Total $____________
This [insert: "owner, operator" or "guarantor"] has not received an adverse report or a "going concern" qualification from an independent accountant on his financial statements for the latest completed fiscal year.
1. a. Number of USTs in North Carolina being covered _____________
b. Proportion covered _____________
c. Cleanup cost factor (multiply 0.05 x $20,000 x #1a and #1b) $____________
d. Third party liability cost factor (multiply 0.02 x $100,000 x #1a and #1b) $____________
2. Cleanup and third-party liability cost factor total (sum of #1c and #1d) $____________
3. Guarantor factor (enter $200,000, if guarantor) $____________
4. Net worth used to assure environmental liabilities for Hazardous Waste Management
Facilities, Hazardous Waste Storage Facilities, and Injection Wells multiplied by 10 $____________
5. Net worth used to assure environmental liabilities for USTs outside of North Carolina $____________
6. Total net worth required to self-insure or to be a guarantor (sum of #2, #3, #4 and #5) $____________
7. Total tangible assets $____________
8. Total liabilities (if any of the amount reported for #6 is included in total liabilities,
you may deduct that amount from this line and add that amount to #9) $____________
9. Tangible net worth (subtract #8 from #7) $____________
Yes No
10. Is line 9 at least [for an owner or operator: $150,000; for a guarantor: $350,000]? _____ _____
11. Is line 9 equal to or greater than line 6? _____ _____
12. Has a compilation report been issued by an independent certified public accountant or
Certified public accounting firm? _____ _____
13. Have financial statements for the latest fiscal year been filed with the Securities
and Exchange Commission? _____ _____
14. Have financial statements for the latest fiscal year been filed with the Energy
Information Administration? _____ _____
15. Have financial statements for the latest fiscal year been filed with the Rural
Electrification Administration? _____ _____
16. Has financial information been provided to Dun and Bradstreet, and has Dun and
Bradstreet provided a financial strength rating of 4A or 5A? [Answer "Yes" only if
both criteria have been met] _____ _____
I hereby certify that the wording of this letter is identical to the wording specified in 15A NCAC 2O .0302, as such regulations were constituted on the date shown immediately below, and that the information contained herein is complete and accurate.
[Signature of chief financial officer]
[Name]
[Title]
[Date]
History Note: Authority G.S. 143‑215.94H;
Eff. August 3, 1992;
Readopted Eff. January 1, 2021.