Dhec Certificate Of Financial Responsibility (Page 2 of 4) in pdf

“Owner” means:

In the case of an underground storage tank in use on November 8, 1984, or brought into use after

that date, any person who owns an underground storage tank used for storage, use, or dispensing of

regulated substances;

In the case of any underground storage tank system in use before November 8, 1984, but no longer in

use on that date, any person who owned such UST immediately before the discontinuation of its use; or

A person who has assumed legal ownership of the underground storage tank through the provisions of

a contract of sale or other legally binding transfer of ownership.

“Operator” means any person in control of, or having responsibility for the daily operation of the UST system.

In the case of a UST system in use on November 8, 1984, or brought into use after that date, a

person who operates a UST used for storage, use, or dispensing of regulated substances; and

In the case of any UST system in use before November 8, 1984, but no longer in use on that date,

a person who operated such UST immediately before the discontinuation of its use.

INSTRUCTIONS FOR COMPLETING THE CERTIFICATE OF FINANCIAL RESPONSIBILITY:

Tank Ownership and/or Operator - Enter the name, mailing address, and telephone number of the UST owner and/

or operator (if different). Also, enter the name of the contact person.

II.

Site Identification and Location - Enter the site identification number (UST Site ID #), the name of the facility where

the USTs are located, and the address of that facility. If multiple facilities are being covered under one financial

responsibility mechanism, a separate Certificate of Financial Responsibility must be completed for each facility.

III.

Mechanism – Choose one or a combination of financial assurance mechanisms to demonstrate financial responsibility

under Subpart H of the SCUSTR. Complete the chart for each mechanism selected. If you intend to use the State

Underground Petroleum Environmental Response Bank (SUPERB) Account (also known as the state cleanup fund)

as part of your mechanism, you must choose #1 and one or more of the other mechanisms (#s 2 – 8) for the required

$25,000 deductible. The state fund can only be accessed when the deductible has been met for eligible releases.

You do not need to complete the “Name of Issuer,” “Amount of Coverage,” or “Period of Coverage” categories for the state

fund (#1) if you choose this mechanism.

IV.

Certification –

Line 1 – Indicate if the party that has obtained financial assurance is the UST owner or operator.

Line 2 – The Certificate of Financial Responsibility must be signed and dated by the party (from Line 1) that has

obtained financial assurance.

Line 3 – Provide the name of the party from Line 2.

Line 4 – Provide the title of the party from Line 2.

Line 5 – The Certificate of Financial Responsibility must be signed and dated by a witness or notary.

Line 6 – Provide the name of the witness or notary from Line 5.

OFFICE MECHANICS AND FILING:

After completing the form, send the form and required supplemental documentation to:

UST Financial Responsibility Liaison

SC Department of Health and Environmental Control

2600 Bull Street

Columbia, South Carolina 29201-1708

The owner (and operator, if applicable) must retain a copy of the completed form at the facility. Should you have

questions on completing or submitting this form, please contact the UST Financial Responsibility Liaison at

(803) 898-0609.

DHEC 3472 (06/2013)

Dhec Certificate Of Financial Responsibility Page 2

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