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ct); L 5�.�,,� 0 `] I Y <br /> ADDRESS <br /> 1_IN'G- .ADDRESS ,V7FCf Ai r`73d wA4 <br /> Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $151. <br /> b. Additional Tanks (N Additional Tanks x $50) <br /> State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($56 x Total N Tanks) _ ^? <br /> *Temporary Closure (per tank) Underground Storage Tank in which <br /> storage has ceased but where the owner/operator proposes to <br /> re-use tank within 2 years. <br /> (N Temporary closures x $80) (See above N3 to calculate surcharge) <br /> *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the owner/operator has no intent <br /> of re-using tank , 3 <br /> (N Permanent Closures x $90) <br /> Plan Check Fee $30, <br /> Total Number of Tanks Tot4j?�Oue <br /> ke al-1 trr� r:.���''_ w^ c, ^vy;,... ' ;,;;,; �;4u� ;ii Di5i,rict. ,k�nalose t�i�,�4} rksheet <br /> th your check . <br /> _. y �\ "6 <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> ( 1 regular. 1 unleaded, 1 supreme, 1 waste oil ) <br /> Ia. Existing Facility & Ist Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 l <br /> Total Number of Tanks 4 Total fee Due $524 C <br /> oth closures will be conditioned. Contact a Health District 2epresentative. <br />-86 <br />