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Aboveground Storage Tank System Application

  1. Creating an account or logging in to Form Center is optional and is not required to submit this form.

  2. I. FACILITY INFORMATION

  3. Select one*

  4. Leak Detection (Check all that apply)

  5. Type of Usage

  6. II. TANK OWNER INFORMATION

  7. Owner Type

  8. III. CONTRACTOR/INSTALLER INFORMATION:

  9. IV. TANK INFORMATION

  10. If applying for multiple tanks, list tank site numbers for each answer in field.

    Example: Is your tank UL 142 compliant? Tank 1: Yes Tank 2: Yes

  11. All tanks shall be painted and display clear product identification in 3-inch (minimum) letters. The NFPA 704 MARKING SYSTEM may also be required, depending on product hazard classification, local requirements, or tank locations. A weather-proof sign with contact persons and emergency numbers will be posted on site with a minimum of 3-inch letters in plain view. (Keytrol or Cardtrol locations) If product stored is NOT a petroleum product but a flammable or combustible or hazardous substance, please provide CERCLA name or CAS registration number and the Material Safety Data Sheet. Attach a copy to application.

  12. V. OTHER TANK INFORMATION

  13. storage tanks

  14. VI. RETAIL FACILITIES

  15. Storage Tanks 2

  16. For SI Units, 1 ft = 0.3 m; 1 gal = 3.8 L

  17. VII. PIPING INFORMATION

    All piping must comply with NFPA 30

  18. Pipe Construction

  19. VIII. DISPENSER INFORMATION

    All dispensers must comply with NFPA 30A

  20. IX. STORAGE TANK BASE TYPES

  21. Types

  22. X STORAGE TANK CONSTRUCTION

  23. Types

  24. XI. STORAGE TANK APPROVAL

  25. Type

  26. XII. PLANS

    Plans should document the location of the tanks, lines, monitoring equipment, nearby structures, and property boundaries. Provide a separate detailed drawing of tank, piping, valves, and dispenser locations. Submit a complete application and plans to the Kansas Office of the State Fire Marshal for approval. A minimum of twenty (20) working days prior to the anticipated installation date must be allowed for sufficient time to review the plans. Once approval is completed, a copy will be forwarded to KDHE for registration. Please submit plans on sheets of paper no larger than 11x17. Drawings do not have to be to scale; however, they must detail the required information.

  27. Plans can also be mailed or delivered to: OSFM, 800 SW Jackson, Ste 104, Topeka, KS 66612.

  28. XIII. APPLICANT'S CERTIFICATION

    I CERTIFY THAT THE INFORMATION ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND THAT ALL EQUIPMENT WILL BE INSTALLED IN COMPLIANCE WITH THE MANUFACTURER INSTALLATION REQUIREMENTS. THIS INSTALLATION WILL BE PERFORMED IN COMPLIANCE WITH ALL FEDERAL, STATE, AND LOCAL REGULATIONS.

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  30. This field is not part of the form submission.