The information required by Env-Or 407.01(a)(2) shall be as follows:

1. (a) Information on the facility and system owner as specified in RSA 146-C:3, I(a) - (c);
2. (b) Whether the application is for piping only;
3. (c) Whether any existing USTs are being closed;

4. (d) For each new UST, the following information:

   1. (1) The nominal and actual volume of the UST;
   2. (2) The diameter and length of the UST;
   3. (3) The regulated substance stored in the UST;
   4. (4) The UST’s manufacturer and material of construction;
   5. (5) If a double-walled UST, the degree of wrap;
   6. (6) If a steel UST, the gauge of the outer wall; and
   7. (7) The design standard of the UST;
5. (e) If leak monitoring is proposed, the manufacturer and model number for the sensor, gauge, and monitor or line leak detector, as applicable;

6. (f) For piping and secondary containment, the following:

   1. (1) Whether the primary piping is a pressure or suction system;
   2. (2) For the primary piping, secondary piping, and duct or chase, the manufacturer, model number, pipe material and schedule, pipe size(s), and minimum bend radius, as applicable;
   3. (3) Whether the system uses a siphon or return;
   4. (4) For the primary, secondary, and duct or chase, the manufacturer, model number, pipe material and schedule, pipe size(s), and minimum bend radius, as applicable;
   5. (5) For vapor piping components including the vent, vapor recovery, and stack, the manufacturer, model number, pipe material and schedule, pipe size(s), and minimum bend radius, as applicable; and

   6. (6) For each sump serving a tank, dispenser, or other UST system component:

      1. a. The manufacturer, model number, and material of the sump; and
      2. b. The manufacturer and model number of each sump sensor and sump entry fitting;
7. (g) For spill containment, the manufacturer and model number of each fill spill container and stage I spill container, as applicable;
8. (h) Whether the overfill protection is an audible alarm level sensor, overfill flow shut-off valve, or another type of protection;
9. (i) The manufacturer and model number of all other UST system appurtenances, including as applicable fill pipe swivel adaptors and caps, submerged fill drop tubes, stage I adaptors and caps, vent or vapor extractor fittings, vent stack caps, and flex connectors;
10. (j) The closest distance from any UST system component to a public water supply well, non-public water supply well, and surface waters of the state as defined in RSA 485-A:2, XIV;
11. (k) If any of the required setbacks are not met, whether a UST system existed a the site or facility prior to February 3, 2005;
12. (l) The name, company, mailing address, daytime telephone number including area code, email address, and N.H. P.E. number and expiration date of the New Hampshire-licensed professional engineer responsible for the plans and specifications;
13. (m) The name, company, mailing address, daytime telephone number including area code, email address, and ICC certification number and expiration date of the certified UST installer who will perform the work; and

14. (n) Any additional information needed to demonstrate that the installation will meet:

    1. (1) The applicable reference standards identified in Env-Or 403; and
    2. (2) The testing and system requirements of Env-Or 405 and Env-Or 406.

Source. (See Revision Note #1 at chapter heading for Env-Or 400) #10393, eff 9-1-18; ss by #12643, eff 10-10-18 (See Revision Note #2 at chapter heading for Env-Or 400)