Form SFN59146 "Certification of Biofuels Blender Pump Installation" - North Dakota

What Is Form SFN59146?

This is a legal form that was released by the North Dakota Department of Health - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2011;
  • The latest edition provided by the North Dakota Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SFN59146 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health.

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Download Form SFN59146 "Certification of Biofuels Blender Pump Installation" - North Dakota

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CERTIFICATION OF BIOFUELS
BLENDER PUMP INSTALLATION
FOR STATE USE ONLY:
NORTH DAKOTA DEPARTMENT OF HEALTH
Facility ID Number:
DIVISION OF WASTE MANAGEMENT
UNDERGROUND STORAGE TANK PROGRAM
SFN-59146 (5-2011)
With the expanding production of biofuels there has been a corresponding increase in the
number of retail facilities storing and dispensing renewable fuels such as ethanol and biodiesel.
These fuels have significantly different characteristics from petroleum gasoline and diesel.
Underground Storage Tank (UST) owners/operators need to be aware of the technical and
regulatory issues/requirements related to the storage of alternative fuels
(http://www.ndhealth.gov/wm/Publications.htm).
The North Dakota Underground Storage Tank Rules and Petroleum and Fuel Product Rules
contain a number of requirements that apply specifically to the storage and dispensing of
biofuels. In part, the requirements that apply when considering the installation of blender
pumps are as follows:
G NDAC 33-24-08-22. Compatibility. Owners and operators must use an underground
storage tank system made of or lined with materials that are compatible with the substance
stored in the underground storage tank system. [NOTE: An underground storage tank system
means an underground storage tank, connected underground piping, underground ancillary
equipment, and containment system, if any. Ancillary equipment means any devices
including, but not limited to, such devises as piping, fittings, flanges, valves, and pumps used to
distribute, meter, or control the flow of regulated substances to and from an underground
storage tank.]
G NDAC 33-24-08-10.4. Dispensers. After January 1, 2009, any new dispenser, and any
replacement dispenser where work is performed beneath any shear valves or check valves, or
on any flexible connectors or unburied risers, shall be provided with secondary containment
(under-dispenser containment) beneath the dispenser.
G NDAC 33-24-08-10.1. Tanks. All tanks installed or replaced after January 1, 2009, and
located within one thousand feet of any existing community water system, or any existing
potable drinking water well, shall be secondarily contained. All secondary containment tanks
shall be capable of containing a release from the inner wall of the tank and shall be designed
with interstitial monitoring.
G NDAC 33-24-08-10.2. Piping. All piping installed or replaced after January 1, 2009,
and located within one thousand feet of any existing community water system or any existing
potable drinking water well shall be secondarily contained. All secondary containment piping
shall be capable of containing a release from the inner wall of the piping and shall be designed
with interstitial monitoring.
(Over)
CERTIFICATION OF BIOFUELS
BLENDER PUMP INSTALLATION
FOR STATE USE ONLY:
NORTH DAKOTA DEPARTMENT OF HEALTH
Facility ID Number:
DIVISION OF WASTE MANAGEMENT
UNDERGROUND STORAGE TANK PROGRAM
SFN-59146 (5-2011)
With the expanding production of biofuels there has been a corresponding increase in the
number of retail facilities storing and dispensing renewable fuels such as ethanol and biodiesel.
These fuels have significantly different characteristics from petroleum gasoline and diesel.
Underground Storage Tank (UST) owners/operators need to be aware of the technical and
regulatory issues/requirements related to the storage of alternative fuels
(http://www.ndhealth.gov/wm/Publications.htm).
The North Dakota Underground Storage Tank Rules and Petroleum and Fuel Product Rules
contain a number of requirements that apply specifically to the storage and dispensing of
biofuels. In part, the requirements that apply when considering the installation of blender
pumps are as follows:
G NDAC 33-24-08-22. Compatibility. Owners and operators must use an underground
storage tank system made of or lined with materials that are compatible with the substance
stored in the underground storage tank system. [NOTE: An underground storage tank system
means an underground storage tank, connected underground piping, underground ancillary
equipment, and containment system, if any. Ancillary equipment means any devices
including, but not limited to, such devises as piping, fittings, flanges, valves, and pumps used to
distribute, meter, or control the flow of regulated substances to and from an underground
storage tank.]
G NDAC 33-24-08-10.4. Dispensers. After January 1, 2009, any new dispenser, and any
replacement dispenser where work is performed beneath any shear valves or check valves, or
on any flexible connectors or unburied risers, shall be provided with secondary containment
(under-dispenser containment) beneath the dispenser.
G NDAC 33-24-08-10.1. Tanks. All tanks installed or replaced after January 1, 2009, and
located within one thousand feet of any existing community water system, or any existing
potable drinking water well, shall be secondarily contained. All secondary containment tanks
shall be capable of containing a release from the inner wall of the tank and shall be designed
with interstitial monitoring.
G NDAC 33-24-08-10.2. Piping. All piping installed or replaced after January 1, 2009,
and located within one thousand feet of any existing community water system or any existing
potable drinking water well shall be secondarily contained. All secondary containment piping
shall be capable of containing a release from the inner wall of the piping and shall be designed
with interstitial monitoring.
(Over)
G NDAC 33-24-08-12. Notification. Any owner who brings a new underground storage
tank system (i.e., tanks or tanks + piping) into use must within thirty (30) days of bringing the
tank into use, submit a notice of existence of the tank system to the department. The
prescribed form, SFN 10980, can be found on the North Dakota Department of Health webpage
at:
http://www.ndhealth.gov/WM/Publications/NotificationForUnderground StorageTanks.pdf
G NDAC 33-34-01-02. Labeling specifications. All alcohol-blended gasoline sold or
offered for sale shall be labeled with the name of the alcohol contained in the gasoline. The
dispensing unit label shall also identify the maximum percentage by volume, to the nearest
whole percent, of ethanol contained in the alcohol-blended gasoline. [NOTE: The use of
gasoline containing ethanol amounts greater than E-10 in a gasoline-only vehicle is prohibited
under the federal Clean Air Act. High-percentage ethanol-blended fuel should be dispensed
from a hose that is separate from a normal gasoline or E-10 hose and clearly marked as being
appropriate for use only by ethanol flexible-fueled vehicles.]
The purpose of this form is to direct owner/operators to sources of information concerning
biofuels and the appropriate sections of the North Dakota Administrative Code that apply to
biofuel storage. Additionally, this form provides a means for owners/operators to certify that
all applicable regulations have been followed when installing a new tank system or converting
an existing tank system to accommodate blender pumps for dispensing alternative fuels.
NOTE: The North Dakota Petroleum Tank Release Compensation Fund (PTRCF) may not reimburse tank
owners/operators for the cleanup of a release if it is determined that their storage and dispensing equipment
is incompatible with the biofuel blends stored in the tank system.
I certify that I am familiar with the above-referenced requirements as they apply to biofuels blender
pumps and underground storage tank systems, and will maintain such records as necessary to verify
compliance with these requirements as per the North Dakota Underground Storage Tank Rules NDAC
Article 33-24, and the North Dakota Petroleum and Fuel Product Rules Article 33-34.
Signature (Owner/Operator)
Date (MM/DD/Y)
Printed Name
Title
Facility Name and Location Address (print)
Mail this form to:
North Dakota Department of Health
Division of Waste Management - UST Program
918 E. Divide Ave., 3rd Fl.
Bismarck, ND 58501-1947
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