Form Gas-1262 - Motor Fuels Application - North Carolina Department Of Revenue - 2008 Page 17

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Bulk-end User of Alternative Fuels License
No
140. Do you store both highway and nonhighway alternative fuel in the same storage tank?
Yes
141. Estimate the number of taxable gallons that will be used in North Carolina during an average month.
Compressed
Propane
Other
Natural Gas
142. List all bulk storage locations for alternative fuel. (Attach additional sheets if necessary.)
Location
Fuel Type
Tank Capacity
Highway
Nonhighway
Common
Use
Use
Storage
Kerosene Distributor License
Yes
No
143. Do you maintain bulk storage facilities in North Carolina?
144. Where is your bulk storage located?
Above Ground
145. Fuel Storage Capacity:
Below Ground
146. If no bulk storage facility is owned, explain storage arrangements.
Yes
No
147. Do you plan to import kerosene into North Carolina?
148. Indicate the type of kerosene imported into North Carolina.
Dyed Kerosene
Undyed Kerosene
149. Indicate the means of transport for this imported product.
Seagoing Vessel/Barge
Transport Truck
Tank Wagon
Pipeline
Railroad Tank Car
Other - Describe
150. List the states from which you import kerosene and your license number in those states. (Attach additional sheets if necessary.)
151. Estimate the number of taxable gallons that will be sold or used in North Carolina during an average month.
Undyed
Dyed
Kerosene
Kerosene
Yes
No
152. Do you plan to export kerosene out of North Carolina?
153. Indicate the type of kerosene exported from North Carolina.
Undyed Kerosene
Dyed Kerosene
154. Indicate the means of transport for this exported product.
Seagoing Vessel/Barge
Transport Truck
Tank Wagon
Pipeline
Railroad Tank Car
Other - Describe
155. List the destination states for exported kerosene and your license number in those states. (Attach additional sheets if necessary.)
Page 16

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