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Request for UST Removal Reimbursement

Request for UST Removal Reimbursement

Revised (10/22/2024)
  • 1

    Colorado Department of Labor and Employment
    Division of Oil and Public Safety – Petroleum Storage Tank Fund
    633 17th Street, Suite 500, Denver, CO 80202-3610
    Phone: 303-318-8525
    Fax: 303-318-8488
    Email: cdle_pstreimbursementapps@state.co.us
    Web: www.ops.colorado.gov

    __________________________________________________________________________

    This form should be used when an applicant is applying for reimbursement for UST removal in accordance with PSTC Policy 29.

    UST removal reimbursement includes the following limitations and requirements per each eligible tank:
    ● UST(s) installed prior to August 2008:
    ○ Reimbursement is $2 per gallon of UST volume removed, up to a maximum of $60,000 per facility.
    Tanks with the capacity up to 2,000 gallons would be eligible for a maximum of $4,000.

    ● UST(s) installed August 2008 and thereafter
    ○ Reimbursement is $1 per gallon of UST volume removed, up to a maximum of $30,000 per facility.
    Tanks with the capacity up to 2,000 gallons would be eligible for a maximum of $2,000.
    ● The Division of Oil and Public Safety (OPS) will determine the total UST volume removed based on tank
    registration or other records.
    ● An owner or operator is limited to up to $1,000,000 in UST removal reimbursement per fiscal year.
    ● The Committee will allocate no more than $4,000,000 per year for UST removal reimbursement,
    subject to available funds.
    ● Reimbursement of costs that exceed the annual maximum for the owner or operator, or the maximum
    annual allocation by the Committee, will carry over to the next fiscal year, and will be subject to the
    Committee’s annual allocation of funds for UST removal reimbursement.
    ● Reimbursement is only available to owners or operators of active UST systems, and property owners with
    abandoned or orphaned tanks, who are eligible to participate in the Fund.
    ● For the UST(s) removed, the associated piping must be included in the removal. All removal work must
    have been done on or after January 1, 2019.
    ● The applicant must be in compliance with permanent tank closure requirements, including notification and
    assessment.
    ● Reimbursement of tank removal costs is not contingent on the presence or absence of contamination or
    precluded by the installation of new USTs on the property.
    ● Application with supporting documentation must be made using a UST Removal reimbursement application
    form, separate from the Petroleum Storage Tank Original and Supplemental reimbursement application
    forms, which will be provided on the OPS web page.
    ● Applications for UST Removal reimbursement must be submitted within 120 days of tank closure.
    ● The Committee may terminate this policy with 90 days’ notice, unless shorter termination is
    required due to Fund solvency concerns.


    Document Information
    • The applicant must be in compliance with permanent tank closure requirements, including notification and assessment.

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    This is the name of the owner or operator of active UST systems or property owners with abandoned or orphaned tanks. The Applicant can be a sole proprietor or individual, a corporation, a partnership, or a Limited Liability Company.
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    Account Name replaces the "Owner ID". This is the number established by OPS at either registration or when OPS became aware that an owner has Fund eligible tanks. (IE: ACCT-00123). It can be found in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. Open the facility and hover over/ click on Facility Owner to find the information.
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  • 4
    This is the name of the owner or operator of active UST systems or property owners with abandoned or orphaned tanks. The Applicant can be a sole proprietor or individual, a corporation, partnership, or a Limited Liability Company.
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  • 5
    This is the method of communication for Acknowledgement and Deficiency Letters and the Incentive Payment Report. This is usually the owner/applicant contact who is knowledgeable with or accountable for the application.
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  • 6
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  • 7
    If applicable, this is the individual who represents the interests of the applicant. In some instances, they actually assemble and complete the application. A Representative can be a Consultant or Contractor, someone other than the applicant.
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  • 8
    If applicable, this is the company of the individual who represents the interests of the applicant.
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  • 9
    If applicable, this is the email address of the individual who represents the interests of the applicant.
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  • 10
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  • 11
    This is location where applicant’s business mail is received.
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    • South Ossetia
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    • Spain
    • Sri Lanka
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    • Wallis and Futuna
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    • Yemen
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    • Zimbabwe
    • Other
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    This is the facility’s name as per OPS records.
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  • 13
    This is the facility number established by OPS at either registration or when OPS became aware that there is a facility with Fund eligible tanks. You can find the facility information in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc.
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    This is the physical location where the Fund eligible tanks are located.
    Please Select
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    • Colorado
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 15
    This information can be found in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The tank list will show up on the right-hand side, click view all and then click on each tank, the Tank Tag will appear under the Facility ID. You can also see on this page installation and closure date.
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  • 16
    This information can be found in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The tank list will show up on the right-hand side, click on view all and the information will appear.
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  • 17
    For more information about orphaned/abandoned tanks click here
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  • 18
    Tanks installed after August 2008 are only eligible for $1 per gallon. This information can be found in COSTIS-IA. The website can be accessed by clicking here . On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The tank list will show up on the right-hand side, click on view all to see the installation date. You can also click on each tank to see the installation and closure date
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  • 19
    This information can be found in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The closure list will show up on the right-hand side, click on each closure and you will be able to see the Closure Name at the top.
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  • 20
    This information can be found in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The tank list will show up on the right-hand side, click on view all and use the Date of Closure here.
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    For more information about orphaned/abandoned tanks click here
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  • 25
    Tanks installed after August 2008 are only eligible for $1 per gallon. This information can be found in COSTIS-IA. The website can be accessed by clicking here . On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The tank list will show up on the right-hand side, click on view all to see the installation date. You can also click on each tank to see the installation and closure date
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    Pick a Date
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  • 26
    This information can be found in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The closure list will show up on the right-hand side, click on each closure and you will be able to see the Closure Name at the top.
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  • 31
    For more information about orphaned/abandoned tanks click here
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  • 32
    Tanks installed after August 2008 are only eligible for $1 per gallon. This information can be found in COSTIS-IA. The website can be accessed by clicking here . On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The tank list will show up on the right-hand side, click on view all to see the installation date. You can also click on each tank to see the installation and closure date
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    Pick a Date
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  • 33
    This information can be found in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The closure list will show up on the right-hand side, click on each closure and you will be able to see the Closure Name at the top.
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  • 38
    For more information about orphaned/abandoned tanks click here
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  • 39
    Tanks installed after August 2008 are only eligible for $1 per gallon. This information can be found in COSTIS-IA. The website can be accessed by clicking here . On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The tank list will show up on the right-hand side, click on view all to see the installation date. You can also click on each tank to see the installation and closure date
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    Pick a Date
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  • 40
    This information can be found in COSTIS-IA. The website can be accessed by clicking here. On the website, you can use the search box by using any known information, i.e. Facility Name, Facility ID, etc. The closure list will show up on the right-hand side, click on each closure and you will be able to see the Closure Name at the top.
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  • 41
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  • 42
    This is the number on the tank removal invoice. This is important when there are several invoices or partial tank removal costs on several invoices. It helps identify and clarify invoices, creating an audit trail.
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  • 43
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  • 44
    This is the total dollar amount of the actual tank removal costs. If tank removal costs were $50,000. This is the amount to be entered in “Amount Paid”, regardless if only $30,000 is eligible because three 10,000-gallon tanks were removed. Conversely, if allowable tank removal costs were $25,000 and three 10,000-gallon tanks were removed. $25,000 is the amount to be entered in “Amount Paid”.
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  • 45
    This is the date on the tank removal invoice. It helps as same as noted in Invoice #
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  • 73
    The Applicant’s signer must be a proper signatory, legally binding themselves and/or the organization to the “Applicant Certification”. These signatory requirements are the same as completing an Original or Supplemental Reimbursement Application. In order to allow the consultant to attest on the applicant's behalf, a letter on the company's letterhead must be submitted with the application as an attachment and it must be signed by a proper signatory authority.
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  • 74
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  • 75
    Sending copies of the closure acknowledgement letter is not necessary. The Applicant’s compliance regarding the closure notice and assessment will be of record.
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  • 76

    Back-Up Documentation

     Acceptable forms of Proof of Payments are a copy of a canceled check (both sides); Proof of Electronic Funds Transfer from the financial institution; or fully executed Affidavit: Proof of Payment (found on the OPS website). OPS needs to be able to tie the payment to the tank removal costs, i.e. if tank removal costs are $26,000 which is part of a larger invoice of $58,000, the proof of payment could be for $58,000, with an audit trail depicting that the $26,000 being paid. For more information, you can see the Guidance for UST Removal Reimbursement Application here.

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  • 78
    Upload more files here if needed. Otherwise, click next.
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Request for UST Removal Reimbursement
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