Loading...
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. �w ./4( V'� %/G/9 S Richard B. Votapka, P.W. Dir Date Print name &title of owner or authorized person Signature 9 NonM1weel Ontdq 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 IdyeMfyF�-$97lOnda HBe. M. ♦ava�ro a AA-1YY1 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 0 _� wayln�. d .l�l,�tittiQn�.Q 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 I ' —f—/— 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 G 1982 U C B I,M U • I i i I 2a 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 n J 711 k1 I 1� �. f�.rR 21 1��-- L.D.U. PA I;" i 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 �