6.1. ERMUSR 05-13-2003 - Laserfiche WebLink

Home Browse Search

CERTIFICATION OF SUBSTANTIAL HARM DETERMINATION FORM Facility Name: Elk River Municipal Utilities Facility Address: 322 King Ave. Elk River, MN 55330 1. Does the facility transfer oil over water to or from vessels and does the facility have a total oil storage capacity greater than or equal to 42,000 gallons? YES NO X 2. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and does the facility lack secondary containment that is sufficiently large to contain the capacity of the largest aboveground oil storage tank plus sufficient freeboard to allow for precipitation within any aboveground storage tank area? YES NO X 3. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and is the facility located at a distance(as calculated using the appropriate formula in Attachment c-III to this appendix or a comparable formula[)such that a discharge from the facility could cause injury to fish and wildlife and sensitive environments? For further description of fish and wildlife and sensitive environments,see Appendices I,II,and III to DOC/NOAA's"Guidance for Facility and Vessel Response Plans: Fish and Wildlife and Sensitive Environments" (see Appendix E to this part, section 10, for availability)and the applicable Area Contingency Plan. YES NO X 4. Does the facility have a total oil storage capacity greater than or equal to I million gallons and is the facility located at a distance(as calculated using the appropriate formula in Attachment C-III to this appendix or a comparable formula')such that a discharge from the facility would shut down a public drinking water intake? YES NO X 5. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and has the facility experienced a reportable oil spill in an amount greater than or equal to 10,000 gallons within the last 5 years? YES NO X CERTIFICATION [certify under penalty of law that I have personally examined and am familiar with the information submitted in this document, and that based on my inquiry of those individuals responsible for obtaining this information, I believe that the submitted information is true, accurate, and complete. General Manager Signature Title r Bryan Adams * •.• , Name (Please type or print) Date If a comparable formula is used documentation of the reliability and analytical soundness of the comparable formula must be attached to this form. 'For the purpose of 40 CFR part 112.public drinking water makers are analogous to public water systems as described at 40 CFR 142.2(c). A2