HomeMy WebLinkAbout1995 11 06 - Fuel Storage TanksCITY OF SEBASTIAN
1225 MAIN STREET
SEBASTIAN, FL 32966
PHONE (407)669-6330
FAX (407)699-5670
TO: Dept. of Environmental
ro ec ion
Storage Tank Regulatimm
2600 Blair Stone Road
Tallahassee, F1
LETTER OF TRANSMITTAL
TE: _,11-6-95
TTENTION: Ernest Stevens
1E: City of Sebastian Fuel Storage
Tanks
WE ARE SENDING YOU Mx ATTACHED 0 UNDER SEPARATE COVER VIA
Q COPY OF LETTER
Q SPECIFICATIONS
Q COPY OF MEMO
0 CHANGE ORDER
THE FOLLOWING ITEMS:
n PERMIT' APPLICATION Q PRINTS
0 SHOP DRAWINGS Q O1I IrR
COPIES
1
DATE
11 6 95
DESCRIPTION
Copies of registrations for Wastewater Treatmedt
storage tank and Water Treatment Storage Tank
" SUBMIT _ COPIES FOR DISTRIBUTION
OAS REOUESTED
Q RETURN _ CORRECTED PRINTS
re i
Q RETURNED FOR CORRECTIONS
Q APPROVED AS SUBMITTED
the Cit Public Works Central - never r
APPROVED AS NOTED
Q BIDS DUE: 19
95-96 Storage Tank Re istration Placard from t
diesel fuel tank for the Sebastian
Highlands Water Treatment Plant and_2000 gallon diesel fuel tank for the
Sebastian Highlands Wastewater Treatment Plant became property of Indian
River County_ Utilities__Department_as
of October 1, 1995.
SIGNED
COPY TO'
IF FNCLOSURFS
ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE
Q FOR APPROVAL
"RESUBMIT_ COPIES FOR APPROVAL
IQ FOR YOUR USE
" SUBMIT _ COPIES FOR DISTRIBUTION
OAS REOUESTED
Q RETURN _ CORRECTED PRINTS
Q FOR REVIEW AND COMMENT
Q RETURNED FOR CORRECTIONS
Q APPROVED AS SUBMITTED
MOTHER
APPROVED AS NOTED
Q BIDS DUE: 19
REMARKS: Note: Both the _6000_gallon
diesel fuel tank for the Sebastian
Highlands Water Treatment Plant and_2000 gallon diesel fuel tank for the
Sebastian Highlands Wastewater Treatment Plant became property of Indian
River County_ Utilities__Department_as
of October 1, 1995.
SIGNED
COPY TO'
IF FNCLOSURFS
ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE
d,V
r` Florida Department of Environmental Regulation �^^ �°"°'L" °°'°m°"�"
.�^ L DOD~ t0, TM I
t,-� .�� / "wLi Jbw CMice Bldg. • 2600 Bhlr Stone Fond • 1311alsuuc. Florida 32399-2400 °rP.,am1
Storage Tank Registration Form
Please Print. or Type - Review instructions Before Completing Form
1. DER Facility ID Number:
31/8629917 2. Facility Type: C
a New Registration ❑ New Owner Data El Facility Revision❑ Tank(s) Revision El
4. County and Code of tank(s) location:
Indian River 31
5. Facility Name:
Sebastian Highlands Water Treatment Plant
Tank(s) Address 170 Filbert Street i
CkAtate/Lp: Sebastian, Florida 32958-6293
Contact Person: Buddy Betschart Telephone: ( 407 563-9417
& Financial Responsibility Type: Letter of Credit
7a.Tank(s) Owner City of Sebastian
owner Mailing Address: 1225 Main Street
City/State/Zip: Sebastian Florida 32958
Contact Person: Richard B Votapka Utilities Director Telephone; (407) 589-5330
7b,NewOwner SignaturelChange D - -
np�G '
6. Location (optional) Latitude: Longitude:
3 / _1_1
Section—1 9 Township 315 Range 39 E
Complete One Line For Each lhnk At This Facility (Use Codes - See Instructions)
Complete 9 - 16 for tanks in use; 9 - 19 for tanks out of use
9
10
11
12
13
14
15
16
17 18 719 1
1
6,000
G
1982
U
C
B
I,M
U
I i
i
I
20. DPR#
Certified Contractor' Department of Professional Regulation License Number'
'For new tank installation or tank removal
To the best of my knowledge and belief all information submitted th onn i true, accurate an c " pate
Charles E. Fancher, Jr., President, GDU
Print name & title of owner or authorized person Signature Date
Prs++e orae rowP.t orn c.m. orn zwerw o.v � � romssa0unr wwv$..,
1m ce�...v c.+. >e:s em•..m-•+ru sw. a m° vro Mro�.rP as s+. �s .sx° ar Pr ei.a ova Pry e..a. waw n.oa
P«w.eu. arm ssm�.vs. xarw wm mm o.r+m ceras nemao rroa cera. aaan.7 r . u,.R reo vsm.mue w+uxas°
so.-nemm curse -am a,as.,sa euea�1 eussxams
TA
;1151 PIPTN6 CONSTRIr"TI0N CODES
A. Aboveground, not in contact with soil
B. Galvanized or unprotected metal
C. Fiberglass
E. Cathodically protected steel
F. Double -walled
G. Secondary containment
H. Airport hydrant piping
(#16) LEar DETECTION METHODS
A. Vapor monitoring
B. Groundwater monitoring
E. Interstitial monitoring, tank liners
F. Interstitial monitoring,
double -walled tank
G. Piping/in-line leak detectors with
automatic shut-off
H. Piping/in-line flow restrictors
I. Suction piping system
J. Pressurized piping system
K. Dispenser liners
L. Bulk product transfer lines
Y. Unknown
Z. Department approved alternate
I. Not required, see rule for exemptions
J. Interstitial monitoring, piping liners
K. Interstitial monitoring,
double -walled piping
L. Automatic tank gauging system
M. Manual tank gauging system
Y. Unknown
Z. Department approved alternate
(#171
•A.
TAM' STATUS/OISPOSlace-PiS
in
underground tank
filled with sand or concrete;
-K gFGTcTReTION CODES LIST
'.
�� cern ITY TYPE CODES
A. Retail/fuel seller
J. Collection station
.,
B. Residence
C. Non-retail/fuel user not seller
K. BulkChemchemicalal stofacrage
Specialty Contractor
D. Inland bulk petroleum storage
L.
H. Agricultural facility
`A or B: Closure
E. Industrial plant
N. Indian land
F. Federal government
G. State government
T. Bulk product facility
fueling facility
(4) County code
H. Local, city government
V. Marine
(5) Facility information
I. County government
Z. Other:
DER
ie cppNcIBI1ITY CODES
Third Party Liability/State contractor (FPLIPA/AIG)
(7) Owner information
(B) Tank site information
A. State Program -
Third Party Liability/Self insurance with other carrier;
(9) Tank number
B. State Program -
other federal financial
responsibility mechanism.
requirements.
(10) Tank size
C. Other coverage meeting federal financial
responsibility
D. None
(alil CONTENT COD=S
N. Fuel oil; distribution.
A. Leaded gasoline
0. New/lube oil
B. Unleaded gasoline
Q. Pesticide
C. Gasohol
D. Vehicular diesel
R. Ammonia compound
S. Chlorine compound
E. Aviation gasoline
T. Hazardous substance
F. Jet Fuel
G. Diesel; emergency generator
U. Mineral acid
V. Bunker 'C' residual oil
H. Diesel; generator or pump
W. Petroleum additive (pollutant)
(12) Tank installation date
K. Kerosene
Y. Unknown
(13) Tank placement (U or A)
L. Waste oil
H. Fuel oil; on site heating
Z. Other:
'
CODES
L. Compartmented
rn eT roar CONSTRir'TION
A. Overfill protection - ball check valve
N. Spill containment
H.erfill flow rot cti off
sfill
B. Interior lined or lined bottom steel
asphalted steel
Overfill protection - tight
C. Bare, painted, or
P. Impervious berm
D. Unknown
Q. Earth berm
E. Fiberglass
F. Fiberglass -clad steel, composite
R. Im ervious base
.
G. Cathadically protected b coated steel,
rth
T: Small useetank
sacrificial anode
H. Cathodically protected b coated steel,
U. Field erected tank
built on supports
impressed current
N. Tank
X. Concrete
I. Double-walledY.
J. Secondary containment, synthetic liner
Z. Othertment approved alternate
P
K. Secondary containment, concrete
TA
;1151 PIPTN6 CONSTRIr"TI0N CODES
A. Aboveground, not in contact with soil
B. Galvanized or unprotected metal
C. Fiberglass
E. Cathodically protected steel
F. Double -walled
G. Secondary containment
H. Airport hydrant piping
(#16) LEar DETECTION METHODS
A. Vapor monitoring
B. Groundwater monitoring
E. Interstitial monitoring, tank liners
F. Interstitial monitoring,
double -walled tank
G. Piping/in-line leak detectors with
automatic shut-off
H. Piping/in-line flow restrictors
I. Suction piping system
J. Pressurized piping system
K. Dispenser liners
L. Bulk product transfer lines
Y. Unknown
Z. Department approved alternate
I. Not required, see rule for exemptions
J. Interstitial monitoring, piping liners
K. Interstitial monitoring,
double -walled piping
L. Automatic tank gauging system
M. Manual tank gauging system
Y. Unknown
Z. Department approved alternate
(#171
•A.
TAM' STATUS/OISPOSlace-PiS
in
underground tank
filled with sand or concrete;
(19)
Statussdate
aaboveground
Properly closed place:
tank
properly closed
(20)
Specialty Contractor
•B.
Removed from the site -
`A or B: Closure
Assessaent required
disposed;
F.
Unmaintained storage tank
- tank notdin use properly
ed anot
erand
ne
T.
Temporary out -of -service
or
DER
Form 17-761.900(2)
Codes List
U.
In-service
17-M90ar
d.�"�.!i `� rme i— Sc"C' T'nt'°°" ram
Florida Department of Environmental Regulation
Twin Towers Office Bldg. 2600 Blab Srone Road •Ihllalusse4 Fbdda 32399-2400 om eoarm• ti
6•tio - w oen
Storage Tank Registration Form
Please Print.or Type - Review Instructions Before Completing Forst
1. DER Facility ID Number: 31/8629987 2. Facility Type: —
3. New Registration ❑ New Owner Data0 Facility Revision ❑ Tank(s) Revision❑
a
4. County and Code of tank(s) location:
Indian River /
5. Facility Name: Sebastian Hi hlands W-stewater T ea ment Plant
Tank(s) Address: 810 Bailey Drive j
CitylStatelLp: Sebastian, FL 32958-5343
Contact Person:
Budd Betschart Telephone: (_A_07 1 563-9417
6. Financial Responsibility Type:
Letter of Credit
la Tanks) Owner City of Sebastian
Owner Mailing Address:
1225 Main Street i
Sebastian, Florida 32958
CitjState(Zip'407 589-5330
r..ro Paeann• Richard B Votapka Utilities Director Telephone:a
7b. New owner Sjgnaere/Change Date:
cn/ira K. YO ✓Ul /'7ayor
8. Location (optional) Latitude: — I�Jdude*--'--'—✓ Section— Township— Range—
Complete One Line For Each Amit At This Facility (Use Codes - See Instructions)
Complete 9 - 16 for tanks in use: 9 - 19 for tanks out of use
9 10 11 72
13
14
15
16
17 j
18 19
1 2,000 G 1981
U
C
B
I,M
U
nd co rrglete.
DPR#
Department of Professional Reguiation License Number'
20.
Certified Contractor'
-For new tank installation or tank removal
To the best of my knowledge and belief all information submitted
fo is true, accur
nd co rrglete.
Charles E. Fancher, Jr., President, GDU
D to
Print name & title of owner or authorized person
Signature
o.a
rwa
assn or cr Bea
,mos »s•••
wa va.• e«o.
nn.rm rac. uwi.sne arm+... rba. ma awm
eusasse�
nsvx.asrs
ir�i cefILITY TYPE CODES
A. Retail/fuel seller
B. Residence
C. Non-retail/fuel user not seller
D. Inland bulk petroleum storage
E. Industrial plant
F. Federal government
G. State government
H. Local, city government
I. County government
J. Collection station
K. Bulk chemical storage
L. Chemical user. f aci I i ty
H. Agricultural facility
N. Indian land
T. Bulk product facility
V. Marine fueling facility
Z. Other:
' ,
A.
FIlW(CLAL RE�pONSIBILITY COOES
State Program - Third Party
Liability/State
contractor (FPLIPA/AIG)
other carrier;
8.
State Program -Third Party
federal
Liability/Self
financial responsibility
insurance with
mechanism.
other
federal financial responsibility requirements.
C.
Other coverage meeting
D.
None
r
(#111
CONTENT CODES
N.
Fuel oil; distribution
A.
Leaded gasoline
p.
New/lube oil
a.
Unleaded gasoline
Q.
Pesticide
C.
p.
Gasohol
Vehicular diesel
R.
S.
Ammonia compound
Chlorine compound
E.
Aviation gasoline
T.
Hazardous substance
F.
G.
Jet Fuel
Diesel; emergency generator
U.
V.
Mineral acid
Bunker 'C' residual oil
H.
Diesel; generator or pump
W_
Petroleum additive (pollutant)
K.
Kerosene
Y.
Unknown
L.
M.
Waste oil
Fuel oil; on site heating
Z.
Other:
(4) County code
(5) Facility information
(7) Owner information
(B) Tank site information
(9) Tank number
(10) Tank size
(12) Tank installation date
(13) Tank placement (U or A)
(#141 TAS [ONSTRI r'TION COOES L. Compartmented
A. Overfill protection - ball check valveX. Spill containment
8. Interior lined or lined bottom steel N. Overfill protection - flow shut off
C. Bare, painted, or asphalted steel P. OvPefrvil protection - tight fill
s berm
D. Unknown Q. Earth berm
E. Fiberglass
F. Fiberglass -clad steel, composite R. Impervious base
G. Cathodically protected b coated steel, S. Eartma l use base
sacrificial anode
ed tank
H. Cathodically protected & coated steel, W. Tank dbuilt ton supports
impressed current X. Concrete
1. Double -walled synthetic liner Y. Other:
J. Secondary containment, sy Z. De artment approved alternate -
K. Secondary containment, concrete P
(#151 PIPING CON�TRIN'FION CODES
A. Aboveground, not in contact with soil
em
B. Galvanized or unprotected metal ]. Suction
ressurizedi Pressurizedng piping
C. Fiberglass K. Dispenser liners
E. Cathodically protected steel L, Bulk product transfer lines
F. Double -walled Y. Unknown
G. Secondary containment Z. Department approved alternate
H. Airport hydrant piping
(#16) LEar DETECTION ME'(Fi405
A. Vapor monitoring I. Not required, see rule for exemptions
B. Groundwater monitoring J. Interstitial monitoring, piping liners
E. Interstitial monitoring, tank liners K. Interstitial monitoring,
F. Interstitial monitoring, double -walled piping
double -walled tank L. Automatic tank gauging system
G. Piping/in-line leak detectors with M. Manual tank gauging system
automatic shut-off Y. Unknown
Z. Department approved alternate
H. Piping/in-line flow restrictors
(#171 TANK STATUS/DISPOSAL 18) Gallons left
"A. Properly closed in place: underground tank filled with sand or concrete; (79) Status date
aboveground tank properly closed (20) Specialty Contractor
-8. Removed from the site 'A or B: Closure Assessment required
F. Unmaintained storage tank - tank
nnot
din use
erand
abandnot onoperly disposed;
or t
T. Temporary out -of -service DER Form 17-761.900(2) Codes List
U. In-service
State of Florida
Department of Environmental Protection
Storage Tank Registration
1993-1994
This is to certify that the below named facility at the location listed has one or more regulated
storage tanks registered with the Florida Department of Environmental Protection. These tanks
may contain vehicular or other petroleum products, hazardous substances, and or mineral acids.
This placard must be placed out of the weather and in plain view of inspectors entering the
facility. ,
OWNER: GENERAL DEV UTILITIES INC
2601 S BAYSHORE DR
MIAMI FL 33133-5404
FACILITY: SEBASTIAN HIGHLANDS WWTP
810 BAILEY DR
SEBASTIAN FL 32958-5343
FACILITY ID: 31/8629987 TYPE: C = NON -RETAIL BUSINESS
REGISTRATION FEES :
t Initials = 0 Replacements = 0 Renewals =
* Total paid for above tank charges = $25
■ Total active regulated tanks = t
« EXPIRES: JUNE 30, 1994 PLACARD NUMBER: 139715
Penalties = 0 Special Renewals = 0
Virgirfla B. Wetherell, Secretary
Department of Environmental Protection
ISSUED: JUNE 26, 1993
State of Florida
Department of Environmental Protection
Storage Tank Registration
1993-1994
This is to certify that the below named facility at the location listed has one or more regulated
storage tanks registered with the Florida Department of Environmental Protection. These tanks
may contain vehicular or other petroleum products, hazardous substances, and or mineral acids.
This placard must be placed out of the weather and in plain view of inspectors entering the
facility.
OWNER: GENERAL DEV UTILITIES INC
2601 S BAYSHORE DR
MIAMI FL 33133-5404
FACILITY: GENERAL DEVELOPMENT UTILITIES-WTP
170 FILBERT ST
SEBASTIAN FL 32958-6293
FACILITY ID: 31/8629917 TYPE: C = NON -RETAIL BUSINESS
REGISTRATION FEES :
* Initials = 0 Replacements = 0 Renewals = l Penalties = 0 Special Renewals =
* Total paid for above tank charges = $25
* Total active regulated tanks = 1
* EXPIRES: JUNE 30, 1994 PLACARD NUMBER: 139716
J
Virgirfia B. Wetherell, Secretary
Department of Environmental Protection
ISSUED: JUNE 26; 1993
General Development Utilities. Inc.
AN ATLANTIC GULF COMMUNITY CORPORATION SUBSIDIARY
2601 SOUTH SAYSHORE DRIVE (3051859-4357
MIAMI. FL 33133.5461
December 16, 1993
Florida Department of Environmental Protection
Motor Fuel Tank Registration
2600 Blair $tone Road
Tallahassee, Florida 32399-2405
RE: STORAGE TANK CHANGE IN OWNERSHIP - SEBASTIAN HIGHLANDS
Dear Sirs:
Please be advised that on December 16, 1993 the City of Sebastian is acquiring the
Sebastian Highlands water and wastewater facilities owned and operated by General
Development Utilities, Inc. We are enclosing the appropriate Storage Tank Transfer
forms with the new owner data and a copy of the Purchase and Sale Agreement.
31/8629917 170 Filbert Street
31/8629987 810 Bailey Drive
After the transfer date, please contact the following individual:
Mr. Richard S. Votapka, Utilities Director
City of Sebastian
1225 Main Street
Sebastian, Florida 32958
If there are any questions, please contact me at (305) 859-4331.
cc: B.
Betschart
C.
Fancher
J.
Goldman, Esq.
M.
Langley, Esq.
C.
Nash, Esq.
R.
Vo tapka
Very truly yours,
���
Leighton 1. Hew
Director of Engineering
Coi Y — v 7�G/T/BJ
STATE OF FLORIDA /Ld7
DEPARTMENT OF ENVIRONMENTAL PROTECTION
aF STORAGE TANK REGULATION PROGRAM
Facility ID: 8629917
��`O°•E`�� GENERAL DEVELOPMENT UTILITIES-WTP
Account Owner ID 37956 170 FILBERT ST
SEBASTIAN, FL 32958-6293
INDIAN RIVER County
-1995-96 Storage Tank Registration Placard enclosed*
Facility Type: Fuel user/non-retail
SEBASTIAN CITY
1225 NAIN ST Placard No: 34216
SEBASTIAN, FL 32958 Placard Issued: August 17, 1995
Registration Paid: $25
Active tanks on site: 1
STORAGE TANK FACILITY ACCOUNT OWNER: PLEASE RETAIN THE TOP STUB FOR YOUR RECORDS
This is to certify that the facility named herein has one or more regulated storage tanks and/or compression vessels
registered with the Florida Department of Environmental Protection.
Tanks required to register with the Department include those that contain vehicular fuel for land, sea or air use; other
petroleum or petroleum-based products; pollutants such as pesticide(s), ammonia, or chlorine; a hazardous substance such as
listed on the federal CERCLA list, or a mineral acid ouch as hydrobromic acid, hydrochloric acid, hydrofluoric acid,
phosphoric acid, or sulfuric acid.
PLEASE NOTE: VST systema installed between 1976 and 1980 must be replaced with a new secondary containment system by 12/31/1995
The FLORIDA DEP is now -online- with rules, information an the Petroleum Cleanup Program, and Storage Tank Registration data.
INTERNET USERS: find DEP on the Wide World Web at http://www.dep.state.fl.us/. For more program information, such as:
PETROLEUM CLEANUP NEWS; go to: People, Places, Organizations : Organizational Structure : Division of Waste Management : Local,
State, Federal Programs. (Also call the Division of Waste Management, 904-487-3299, for Cleanup Sites/Program information.)
More Internet: TANK REGISTRATION DATA; go to: Information Directory : Standard Reports : Storage Tank Inventory.
See also the free DEP Bulletin Board Service, ECOSYSTEM MANAGEMENT AND ENVIRONMENTAL EDUCATION BBS, accessed at 904-922-7108.
The Storage Tank Registration placard below must be posted at the facility.
It must be placed out of the weather and in plain view of inspectors entering lite facility. _
Pacilp ty ID:
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
STORAGE TANK REGISTRATION PLACARD
1995-96
8629917
Facility: GENERAL DEVELOPMENT UTILITIES-WTP
170 FILBERT ST
SEBASTIAN, FL 32958-6293
INDIAN RIVER County
Active Tanks: 1
Facility Type: C Fuel user/non-retail
Account Owner: 37458 SEBASTIAN CITY
Placard No: 34216
Placard Issued: August 17, 1995
Placard Expires: June 30, 1996
ko-
vie inia B. Wetherell, Secretary
Department of Environmental Protection
Account Owner ID 37458
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
STORAGE TANK REGULATION PROGRAM
1995-96 Storage Tank Registration Placard enclosed*
Facility ID: 8629987
SEBASTIAN HIGHLANDS WWTP
810 BAILEY DR
SEBASTIAN, FL 32958-5343
INDIAN RIVER County
Facility Type: Fuel user/non-retail
SEBASTIAN CITY
1225 MAIN ST Placard No: 34223
SEBASTIAN, PL 32958 Placard issued: August 17, 1995
Registration Paid: $25
Active tanks on site: 1
STORAGE TANK FACILITY ACCOUNT OWNER: PLEASE RETAIN THE TOP STUB FOR YOUR RECORDS
This is to certify that the facility named herein has one or more regulated storage tanks and/or compression vessels
registered with the Florida Department of Environmental Protection.
Tanks required to register with the Department include those that contain vehicular fuel for land, sea or air use; other
petroleum or petroleum-based products; pollutants such as pesticide(s), ammonia, or chlorine; a hazardous substance such as
listed on the federal CERCLA list; or a mineral acid such as hydrobromic acid, hydrochloric acid, hydrofluoric acid,
phosphoric acid, or sulfuric acid.
PLEASE NOTE: OST systema installed between 1976 and 1980 must be replaced with a new secondary containment system by 12/31/1995.
The FLORIDA DEP is now "online" with rules, information on the Petroleum Cleanup Program, and Storage Tank Registration data.
INTERNET USERS: find DEP on the Wide World Web at http://www.dep.state.fl.us/. For more program information, such as:
PETROLEUM CLEANUP NEWS; go to: People, Places, Organizations : Organizational Structure : Division of Waste Management : Local,
State, Federal Programs. (Also call the Division of Waste Management, 904-487-3299, for Cleanup Sites/Program information.)
More Internet: TANK REGISTRATION DATA; go to: Information Directory : Standard Reports : Storage Tank Inventory.
See also the free DEP Bulletin Board Service, ECOSYSTEM MANAGEMENT AND ENVIRONMENTAL EDUCATION BBS, accessed at 904-922-7108.
The Storage Tank Registration placard below must be posted at the facility.
It must be placed out of the weather and in plain view of inspectors entering the facility.
*.�wo
Facility ID:
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
STORAGE TANK REGISTRATION PLACARD
1995-96
8629987
Facility: SEBASTIAN HIGHLANDS WWTP
810 BAILEY DR
SEBASTIAN, FL 32958-5343
INDIAN RIVER County
Active Tanks: 1
Facility Type: C Fuel user/non-retail
Account Owner: 37458 SEBASTIAN CITY
Placard No: 34223
Placard Issued: August 17, 1995
Placard Expires: June 30, 1996
Vir inia B. Wetherell, Secretary
Department of Environmental Protection
L
9M7)
__.e �..6on Form
Florida Department of Environmental Protection .__1990
Twin Towers office Bldg. 6 2600 Blair Stone Road • Tallahassee, Florida 32399-2400 .
mlkd In Oy DER)
Storage Tank Registration Form
Please Print or Type - Review Instructions Before Completing Form
1. DER Facility IDNumber. 31/8629917
2. Facility Type: H
3. New Registration
❑ New Owner Data ® Facility Revision ❑ Tank Revision ❑
4. County and Code of tank(s) location: Indian River County —/
5. Facility Name: Sebastian Highlands, WTP
Tank(s)Address: 170 Filbert Street
City/State/Zip: Sebastian, Fl 32958
On Site Manager/Contact:Skip Cruce OnSlteTelephone: ( 4071 589-0340
6. Financial Responsibility Type : B
7a. Tank(s)Owner.. City of Sebastian Utilities Account Owner Number: 37458
owner Mailing Address: 1225 Main Street
City/State/Zip: Sebastian Fl 32958
Contact Person: Richard B. Votapka
Telephone: L4071 589-5490
16!93
7b New Owner Signature/Change Dale
B. Location (optional) Latitude: 27 04 5 ' 4 0 11 Longitude: 80, 7 1 42 to Section 19 Township 3 —is Range 3 9 E
Complete One Line For Each Tank At This Facility (Use Codes - See Instructions)
Complete 9 - 16 for tanks In use; 9 - 19 for tanks out of use
20.
N/A
Certified Contractor'
'For new tank installation or tank removal
DPRM
N/A
Department of Professional Regulation License Number -
To the best of my knowledge and belief all information submitted on this form is true, accurate and complete.
�w
11
G
12
1982
13
U
14
C
1s
B
16
I,M,B,
17
16
19
g
10
1
6000
160 eove "W Center
Peneecola. FW ds 32501.5794
7825
Jeeka Ae. Florida 322567577 odando, ; �32�803-3787
Tempa. 7Fl rkia33 19 fan
IdyeMfyF�-$97lOnda HBe.
M. ♦ava�ro
a AA-1YY1
20.
N/A
Certified Contractor'
'For new tank installation or tank removal
DPRM
N/A
Department of Professional Regulation License Number -
To the best of my knowledge and belief all information submitted on this form is true, accurate and complete.
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Richard B.
Votapka, P.W. Dir
Date
Print name &title of owner or authorized person
Signature
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NodMeet Disidd Cenbel DW60
Beymeedpwa W,y. S.N, a200 3319 abpuae BW- Suee 232
SAat Disaiol
3504 Cpeonul Pean Dr. 2295
SO, Dleldp S. Congr el AW.
VNale Ave.. Suss 01 1900 a Canprsu Ave. Suae 11
33901 Wssl Pe cM1?F Ida 33411
160 eove "W Center
Peneecola. FW ds 32501.5794
7825
Jeeka Ae. Florida 322567577 odando, ; �32�803-3787
Tempa. 7Fl rkia33 19 fan
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M. ♦ava�ro
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State of Florida
Department of Environmental Protection
Storage Tank Registration
1993-1994
This is to certify that the below named facility at the location listed has one or more regulated
storage tanks registered with the Florida Department of Environmental Protection. These tanks
may contain vehicular or other petroleum products, hazardous substances, and or mineral acids.
This placard must be placed out of the weather and in plain view of inspectors entering flip
facility.
OWNER: GENERAL DEV UTILITIES INC
2601 S BAYSHORE DR
MIAMI EL 33133-5404
FACILITY: GENERAL DEVELOPMENT UTILITIES-WTP
170 FILBERT ST
SEBASTIAN FL 32958-6293
FACILITY ID: 31/8629917 TYPE: C = NON -RETAIL BUSINESS
REGISTRATION FEES:
• Initials = 0 Replacements = 0 Renewals = 1 penalties = 0 Special Renewals =
• Total paid for above lank charges $25
• Total active regulated tanks = I
Y EXPIRES: JUNE 30, 1994
PLACARD NUMBER: 139716
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virgir'a B. Wetherell, Secretary
Department of Envirnmmnntal Protection
ISSUED: JUNE 26: 1993
Florida Department of Environmental Regulation r!r S—WMP "'Oibo F^
s g� :wLi 7bwa� Ort{ce Bldg. 2600 Hhlr Scone Road bn+h+• Florida 32399.2400 �"'• °" dc..el. >a fuoo I
Storage Tank Registration Form
Please Print. or Type - Review Instructions Before Completing Form
1. DER Facility ID Number: 31/8629917 2 Facility Type: C
3 New Registration❑ New Owner Data RI Facility Revision -1 Tanks) Revision❑
0. County and Code of ranks) location: Indian River 31
5, Facility Name: Sebastian Highlands Water Treatment Plant
'Thrills) Add 170 Filbert Street
Sebastian, Florida 32958-6293
Cityh'tate2'ip: i
Contact Person: Buddy Betschart Telephone: 563-9417
!i FnandalRespaksibiilyType Letter of Credit
71.Tanks) Owner.
City of Sebastian
Owner Mailing Address 1225 Main Street j
CdY1stateoP: Sebastian, Florida 32958
Contactpers= Richard B. nocapka, Utilities Director T 4t 07 ) 589-5330
7b.New OwnerSgnatireiChange
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G.ona.c rc., r awlr r�ro os
a. location (optionaq Latitude 17-Z'%5-Zor Longitudx 80 -3L Section 14 7owrsship 31S Range 39 a
Complete Ons Line For Each Thnk At This Facility (Use Codes - See Instructions)
Complete 9 - 16 W tanks in use: 9 - 19 for tanks out of use
9
10
11
12
13
14
1 1s
16
17 18 19 I
1
6,000
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1982
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Certified Ownacaor'
'For new tank installation or tank removal
CPRx
Oeaarirmnt ct Professional Regulation Ucerse Numcer'
,a the best of my knowledge and belief all information su717,1,
rm i� true, accurate anQc pets
Charles _ Fancher, Jr., 2resident. G��� i�/�� �
"mnt name /� ,i ame cr cvner or autnanzed perDateson � Signature / '
�_S .bWSLN Uvm bV •llmIIO �,s bd J�!}RO /T uw.a ide SA,.IIM .'��•�d�e. -1sa .O
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
HRS • INDIAN RIVER COUNTY PUBLIC HEALTH UNIT
ENVIRONMENTAL HEALTH
1900 27TH STREET
VERO BEACH. FL 32960
April 18, 1994
TELEPHONE (407) 778-6321
8UNLOM 240-6321
FAX 778-6303
General Development Utilities, Inc.
2601 S. Bayshore Drive
Miami, FL 33133-5405
RE: Storage Tank Facility, Sebastian Highlands Wastewater
Treatment Plant, DEP Facility No. 318629987, Located at
810 Bailey Drive, Sebastian, Indian River county,
Florida
Dear Sirs:
Please provide corrections in the Florida Department of
Environmental Protection (FDEP) storage tank registration for
the above referenced facility. The storage tanks registered
at this facility are no longer regulated by this department.
To update the FDEP, the enclosed registration form should be
completed and submitted to the FDEP Storage Tank Section,Ro4-4-e9-3835
2600 Blairstone Road, Tallahassee, FL 32399.
As currently registered, this facility may be inappropriately
charged annual operating fees unless corrections are made.
If you have questions, please contact this office at your
convenience.
Sincerely,
Charles L. Vogt, III
Environmental Specialist II
711
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J 711
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LAWTON CHILES, GOVERNOR
STATE OF FLORIDA
VIRGINIA WETHERELL DEPARTMENT OF ENVIRONMENTAL PROTECTION LAWTON CHILES
SECRETARY STORAGE TANK REGISTRATION ACCOUNT STATEMENT GOVERNOR
May 26, 1995
•37458'
IS C DEP T o M Owner Account Number: 37458
9 S JUN
Number: 26002
2 PA 12 1 0 Fiscal Year: 95-96
State Government Agencies Use
Journal Transfer Number
37 20 2 212001 37000000 00 000200 00
SEBASTIAN CITY
1225 MAIN ST
SEBASTIAN,FL 32958
Due by July 31
Payment submitted after this date will be
subject to a $20 penalty per tank.
Total Invoiced Facilities: 2
Total Invoiced Tanks: 2
Balance Due: $50.00
Owner Account Number: 37458
Invoice Number: 26002
Tank
Facility ID IO Contents
Balance Due: $50.00
Amount Submitted:
Cut Along This Line
Make check or money order payable to: DEP - Tanks
Return the above portion with payment to:
STORAGE TANK REGULATION
DEPARTMENT OF ENVIRONMENTAL PROTECTION
2600 BLAIRSTONE ROAD
TALLAHASSEE. FL 32399-2405
Account Owner Name: SEBASTIAN CITY
Fiscal Year: 95-96
Above/ Install Registration Late
Size Under Date Charge Type Fee Penalty Due
31/8629917 : GENERAL DEVELOPMENT UTILITIES-WTP,SEBASTIAN
3 Diesel-Emergen 6,000 U
31/8629987 : SEBASTIAN HIGHLANDS WWTP,SEBASTIAN
4 Diesel-Emergen 2,000 U
PAGE 1 OF 1 PAGES
07/82 Renewal $25 $25
Current Billed: $25.00
Unpaid Prior Year Balance: $0.00
Credit: $0.00
Total Due: $25.00
07/81 Renewal $25 $25
Current Billed: $25.00
Unpaid Prior Year Balance: $0.00
Credit: $0.00
Total Due: $25.00
Utilities Department
Fund# l -Co-533-490 ` -Ls-
Account #//- h7s-to-spa -490 .1 -Ls-
Object
Amount $
Date 7 5r
Initial _jZ 6 �