DEP Form 62-710.901(6) "Used Oil Processing Facility Permit Application" - Florida

What Is DEP Form 62-710.901(6)?

This is a legal form that was released by the Florida Department of Environmental Protection - a government authority operating within Florida. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Florida Department of Environmental Protection;
  • 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 DEP Form 62-710.901(6) by clicking the link below or browse more documents and templates provided by the Florida Department of Environmental Protection.

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Download DEP Form 62-710.901(6) "Used Oil Processing Facility Permit Application" - Florida

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USED OIL PROCESSING FACILITY PERMIT APPLICATION
Part I
TO BE COMPLETED BY ALL APPLICANTS (Please type or print)
A. General Information
1. New_____ Renewal ______ Modification _____ Date current permit expires __________________
2. Revision number _____
3. NOTE: Used Oil Processors must also meet all applicable subparts, (describe compliance in process
description for applicable standards) if they are:
_____ Generators (Subpart C of Part 279)
_____ Transporters (Subpart E)
_____ Burners of off-spec used oil (Subpart G)
_____ Marketers (Subpart H)
_____ are disposing of used oil (Subpart I)
4. Date current operation began: __________________________________
5. Facility name: _____________________________________________________________________
6. EPA identification number: __________________________________________________________
7. Facility Location:
_____________________________________________________________________________
Street
City
State
Zip Code
8. Facility mailing address (if different from facility location):
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
9. Contact person: _____________________________________ Telephone: ____-______________
Title: _________________________________Email: _________________________________
Mailing Address:
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
10. Operator’s name: _____________________________________ Telephone: ____-______________
Email: __________________________________
Mailing Address:
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
Page 1 of 9
DEP Form 62-710.901(6), incorporated in Rule 62-710.800(3), F.A.C. Effective Date: 12/2019
USED OIL PROCESSING FACILITY PERMIT APPLICATION
Part I
TO BE COMPLETED BY ALL APPLICANTS (Please type or print)
A. General Information
1. New_____ Renewal ______ Modification _____ Date current permit expires __________________
2. Revision number _____
3. NOTE: Used Oil Processors must also meet all applicable subparts, (describe compliance in process
description for applicable standards) if they are:
_____ Generators (Subpart C of Part 279)
_____ Transporters (Subpart E)
_____ Burners of off-spec used oil (Subpart G)
_____ Marketers (Subpart H)
_____ are disposing of used oil (Subpart I)
4. Date current operation began: __________________________________
5. Facility name: _____________________________________________________________________
6. EPA identification number: __________________________________________________________
7. Facility Location:
_____________________________________________________________________________
Street
City
State
Zip Code
8. Facility mailing address (if different from facility location):
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
9. Contact person: _____________________________________ Telephone: ____-______________
Title: _________________________________Email: _________________________________
Mailing Address:
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
10. Operator’s name: _____________________________________ Telephone: ____-______________
Email: __________________________________
Mailing Address:
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
Page 1 of 9
DEP Form 62-710.901(6), incorporated in Rule 62-710.800(3), F.A.C. Effective Date: 12/2019
11. Facility owner’s name: ___________________________________Telephone: ____-_____________
Email: __________________________________
Mailing Address:
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
12. Legal structure:
_____ Corporation (indicate state of incorporation) ___________________________________
_____ Individual (list name and address of each owner in spaces provided below)
_____ Partnership (list name and address of each owner in spaces provided below)
_____ Other, e.g., government (please specify) ______________________________________
_____ Individual, partnership, or business operating under an assumed name (enter the county
and state where the name is registered) County________________ State ____________
Name: ______________________________________________________________________
Mailing Address:
____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
Name: ______________________________________________________________________
Mailing Address:
____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
Name: ______________________________________________________________________
Mailing Address:
____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
Name: ______________________________________________________________________
Mailing Address:
____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
13. Site ownership status: [
] owned [
] to be purchased [
] to be leased ____ years
[
] presently leased; the expiration date of the lease is: ______________
If leased, indicate: Land owner’s name: _____________________________________________
Mailing Address:
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
14. Name of professional engineer______________________ Registration No._______________
Telephone: ____-______________
Email: ______________________________
Mailing Address:
____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
Associated with: __________________________________________________________________
Page 2 of 9
DEP Form 62-710.901(6), incorporated in Rule 62-710.800(3), F.A.C. Effective Date: 12/2019
B.
SITE INFORMATION
1. Facility location:
County: ___________________________________________
Nearest community:_________________________________
Latitude:____________ Longitude: ___________________
Section: ____________ Township: ____________________ Range: _______________
UTM # _________/_________/_________/_________
2. Facility size (area in acres): _______________________
3.
Attach a topographic map of the facility area and a scale drawing and photographs of the facility
showing the location of all past, present and future material and waste receiving, storage and processing
areas, including size and location of tanks, containers, pipelines and equipment. Also show incoming
and outgoing material and waste traffic pattern including estimated volume and controls.
C. OPERATING INFORMATION
1. Hazardous waste generator status (SQG, LQG, etc.) __________
2. List applicable EPA hazardous waste codes:
_____
__________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
3. Attach a brief description of the facility operation, nature of the business, and activities that it intends to
conduct, and the anticipated number of employees. No proprietary information need be included in this
narrative.
A brief description of the facility operation is labeled as Attachment __________
4. A detailed description of the process flow should be included. This description should discuss the overall
scope of the operation including analysis, treatment, storage and other processing, beginning with the
arrival of an incoming shipment to the departure of an outgoing shipment. Include items such as size and
location of tanks, containers, etc. A detailed site map, drawn to scale, should be attached to this
description. [See item four (4) of the instructions.]
The facility’s detailed process description is labeled as Attachment __________
5.
The following parts of the facility’s operating plan should be included as attachments to the permit application.
[See item five (5) of the instructions.]
a. An analysis plan which must include:
(i) A sampling plan, including methods and frequency of sampling and analyses;
(ii) A description of the fingerprint analysis on incoming shipments, as appropriate; and
(iii) An analysis plan for each outgoing shipment (one batch/lot can equal a shipment provided the lots
are discreet units) to include: metals and halogen content
The analysis plan is labeled as Attachment __________
Page 3 of 9
DEP Form 62-710.901(6), incorporated in Rule 62-710.800(3), F.A.C. Effective Date: 12/2019
b. A description of the management of sludges, residues and byproducts. This must include the
characterization analysis as well as the frequency of sludge removal.
Sludge, residue and byproduct management description is labeled as Attachment ________
c.
A tracking plan which must include the name, address and EPA identification number of the
transporter, origin, destination, quantities and dates of all incoming and outgoing shipments of used oil.
The tracking plan is included as Attachment __________
6. Attach a copy of the facility’s preparedness and prevention plan. This requirement may be satisfied by
modifying or expounding upon an existing SPCC plan. Describe how the facility is maintained and operated to
minimize the possibility of a fire, explosion or any unplanned releases of used oil to air, soil, surface water or
groundwater which could threaten human health or the environment. [See item six (6) of the instructions.]
The preparedness and prevention plan is labeled as Attachment __________
7. Attach a copy of the facility’s Contingency Plan. This requirement should describe emergency management
personnel and procedures and may be met using a modifying or expounding on an existing SPCC plan or should
contain the items listed in the Specific Instructions. [See item seven (7) of the instructions.]
The contingency plan is labeled as Attachment __________
8. Attach a description of the facility’s unit management for tanks and containers holding used oil. This
attachment must describe secondary containment specifications, inspection and monitoring schedules and
corrective actions. This attachment must also provide evidence that all used oil process and storage tanks meet
the requirements described in item 8b of the specific instructions, and should be certified by a professional
engineer, as applicable.
The unit management description is labeled as Attachment __________
9. Attach a copy of facility’s employee training for used oil management. This attachment should describe the
methods or materials, frequency, and documentation of the training of employees in familiarity with state and
federal rules and regulations as well as personal safety and emergency response equipment and procedures. [See
item nine (9) of the instructions.]
A description of employee training is labeled as Attachment __________
10. Attach a copy of the facility’s Closure plan and schedule. This plan may be generic in nature and will be
modified to address site specific closure standards at the time of closure. [See item ten (10) of the instructions.]
The closure plan is labeled as Attachment _________
11.
The applicant must have an approved current dollar closing cost estimate using DEP Form 62-710.901(7),
“Used Oil Processing Facility Closing Cost Estimate Form,” before an application is considered complete. If
not previously submitted pursuant to the requirements of Rule 62-710.800(6), F.A.C., and approved by the
Department, attach DEP Form 62-710.901(7) here and send a copy to
Financial.Assurance.Working.Group@floridadep.gov. [See item eleven (11) of the instructions.]
The current dollar cost estimate is dated
and was approved by the Department
on
. or
Page 4 of 9
DEP Form 62-710.901(6), incorporated in Rule 62-710.800(3), F.A.C. Effective Date: 12/2019
A current dollar cost estimate is labeled as Attachment __________. A copy has been sent to the
Financial Assurance Working Group.
12. The applicant must have acceptable proof of financial assurance covering the current dollar Department
approved closing cost estimate before the issuance of a permit. Original signature financial assurance
documentation that meets the requirements of Rule 62-701.630(6), F.A.C. (pursuant to Rule 62-710.800(6),
F.A.C.), must be submitted directly to the Financial Assurance Working Group (aka Solid Waste Financial
Coordinator) at the address below. Because this documentation and approval letters may contain proprietary
information, copies are not required to be part of the permit application itself. [See item twelve (12) of the
instructions.]
Financial Assurance Working Group
Department of Environmental Protection
Permitting & Compliance Assistance Program
2600 Blair Stone Rd. MS 4548
Tallahassee, FL 32399-2400
Financial assurance (FA) documentation was submitted to the Department and the most recent FA
compliance letter is dated
. or
Financial assurance documentation will be submitted to the Department after the attached
estimate is approved
(check if appropriate).
Page 5 of 9
DEP Form 62-710.901(6), incorporated in Rule 62-710.800(3), F.A.C. Effective Date: 12/2019
Page of 9