ࡱ> o tgbjbj czfzf ^S$Pe!,>(:   ;!3"L"(=,?,?,?,?,?,?,$.1*c,#$;!;!#$#$c,  4x,'''#$v  =,'#$=,''!*m* $9*),,0,A*,1% 1m*1m*"Z#@'A#4u#"""c,c,&""",#$#$#$#$1""""""""" : CONSOLIDATED APPLICATION FOR MULTI-BUREAU TRANSFERS This package of materials contains information, instructions, and forms necessary to apply for a transfer of all your companys licensing orders, license modifications and amendments, condition compliance orders, other approvals, pending applications, and registrations currently under the Department of Environmental Protections (Department) jurisdiction. The multi-bureau or global transfer process is a Department-wide process coordinated by a project manager in the Office of the Commissioner. Global transfer will streamline your organizations license transfer into a single application process. Please read the instructions and materials carefully and complete all information required and applicable to your operations. An incomplete application may be returned to you, resulting in unnecessary delay in the review process. Also, please be advised to prepare and submit your application well in advance of the date you desire the transfer to occur. For transfers involving solid waste facilities, additional information is likely to be required (see p. 7). If you have any questions or need assistance with completing this application, contact the staff member assigned as the point-of-contact for your transfer. The Department encourages you to contact this staff member for a pre-application meeting or consultation. Such individuals are highly trained professionals who will assist in expediting the transfer process and focusing your efforts on necessary and appropriate information. NOTE: This document is intended to provide general guidelines for fb88 DEPs process for consolidated license transfer applications. This guidance does not create or affect any legal rights of persons submitting an application to fb88 DEP, all of which are determined by applicable statutes and fb88 DEPs Rules Concerning the Processing of Applications and Other Administrative Matters, 06-096 CMR 2:  HYPERLINK "http://www.maine.gov/sos/cec/rules/06/chaps06.htm" http://www.maine.gov/sos/cec/rules/06/chaps06.htm Except as described below, written consent must be applied for no later than two weeks after any transfer of ownership of property subject to a license. Pending determination on the application for approval of a transfer, the transferee shall abide by all of the conditions of such license and is jointly or severally liable with the original licensee for any violation of the terms and conditions thereof. The transferee shall demonstrate to the Departments satisfaction the technical and financial capacity and intent to: (a) comply with all terms and conditions of the applicable license, and (b) satisfy all applicable statutory and regulatory criteria. The transfer of a license for a hazardous waste facility, solid waste disposal facility, waste oil facility and biomedical waste facility must be approved prior to the transfer of ownership of the property which is the subject of the license. A license pertaining to the occupational activities of persons (e.g. transporter licenses, underground oil storage tank installers, asbestos or lead abatement professionals) is not transferable, unless specifically allowed by statute or rule. If the proposed transferee demonstrates that the original licensee no longer has sufficient title, right or interest in the property subject to the license, the Department may allow the transfer application to be processed without the signature of the original licensee. INSTRUCTIONS 1. Public Notice Requirements. Each global transfer applicant must comply with the Departments public notice requirements. Unless exempted in the DEPs Rules Concerning the Processing of Applications and Other Administrative Matters, 06-096 CMR 2(14)(C), within 30 days prior to filing, an applicant shall give public notice of Intent to File a new, renewal, amendment or transfer application. An application that has been previously returned as incomplete pursuant to section 11(B) of this rule must comply with these requirements if the application is not resubmitted within 30 days of the date it was returned to the applicant. The notice must be mailed by certified mail or Certificate of Mailing to abutters, as determined by local tax records or other reliable means, to the municipal office of the municipality(ies) where the project is located and, if the project is located in the unorganized or deorganized areas of the state, to the appropriate county commissioners. The notice must also be published once in a newspaper circulated in the area where the project is located. Copies of the published Notice of Intent to File and a list of abutters to whom notice was provided must be submitted with the application. 2. License list. The applicant and Department project manager will jointly compile a complete list of licensing orders, modifications and amendments, condition compliance orders, other approvals, and applications currently under the Departments jurisdiction and in need of transfer. Some DEP permit types, certifications, notifications, and registrations are not transferrable, and will need to be re-applied for separately. The final list will result from discussions between the Department point-of-contact and application contact during the processing of the application. 3. Applicant information. Each global transfer applicant must submit the following information regarding the facility(ies) and project(s) that are the subject of the proposed transfer: A. Facility Identification. Name and location of facility or project. B. Current licensee. Name of the current license holder as it appears on current permits and contact information for the current licensee. C. Applicant/Transferee. The full legal name of the person or legal entity to which the permits are requested to be transferred. Include fb88 Secretary of State corporate ID number if available. D. Applicants Billing Contact. Provide the address to be used for future environmental invoices (e.g., reoccurring license fees) if different from above. E. Applicants Agent. The name and contact information for the applicants agent authorized to communicate with the Department on behalf of the applicant regarding the facility that is the subject of this application. F. Transfer Fees. The Department charges fees to partially offset the costs associated with transferring certain licenses. Applicants should consult the Departments web site HYPERLINK "http://www.maine.gov/dep/permits/index.html"http://www.maine.gov/dep/permits/ for a current list of applicable fees, as these are republished annually on November 1. A check for the total amount of all transfer fees, made payable to Treasurer, State of fb88, should be forwarded to the Department along with this completed application. applicant information Facility or Project: ___________________________________________________________________ City/Town: ________________________________ County: _________________________________ Current licensee: Contact Person: Mailing Address: City/Town:_____________________State: Zip Code: ______________________ Telephone E-mail __________________________________________ Applicant/Transferee: fb88 Secretary of State corporate ID #: Contact Person: Mailing Address: City/Town:_____________________State: Zip Code: ______________________ Telephone. E-mail__________________________________________ Applicants Billing Information (if different): Mailing Address: City/Town:_____________________State: Zip Code: ______________________ Telephone E-mail__________________________________________ Applicants Agent: Mailing Address: City/Town:_____________________State: Zip Code: ______________________ Telephone E-mail__________________________________________ Signatory Certification & attestation Each global transfer application submitted to the Department must be signed by a responsible official, as defined on this Signatory Certification and Attestation, as or on behalf of the applicant. In cases where the licenses are being transferred to multiple co-applicants, all parties must submit a signature. By signing this application, the applicant certifies that he or she has: (1) published a Notice of Intent to File in a newspaper generally circulated in the area where the applicants facility(ies) and project(s) are located; (2) sent a copy of the public notice to the owners of property abutting the land(s) upon which the facility(ies) and project(s) are located; (3) sent a copy of the public notice form to the municipal office of the municipality(ies), or in the case of unorganized territories to the appropriate county commissioners, where the facility(ies) and project(s) are located; (4) mailed a complete copy of the application to the appropriate town or city clerk, or in the case of unorganized territories to the county commissioners, where the facility(ies) and project(s) are located; (5) reviewed the instructions contained in this application package; and, (6) reviewed and is familiar with the appropriate state laws that are associated with the licenses and approvals which are the subject of this proposed transfer. An application from a corporation must be submitted in the corporations registered corporate name and must include either a Certificate of Good Standing or a statement signed by a corporate officer affirming that the corporation is in good standing. I certify under penalty of law that I have personally examined the information submitted in this document and all attachments thereto and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe the information is true, accurate, and complete. I authorize the Department to enter the property that is the subject of this application, at reasonable hours, including buildings, structures or conveyances on the property, to determine the accuracy of any information provided herein. I am aware there are significant civil and criminal penalties for submitting false information, including the possibility of fine and imprisonment. Date: (signature) (print or type name/title of responsible official) Current Licensee Signature The current license holder must also sign a transfer application, except as provided in the Departments Chapter 2 rule. If the proposed transferee demonstrates that the original licensee no longer has sufficient title, right or interest in the property subject to the license, the Department may allow the transfer application to be processed without the signature of the original licensee. By signing this application, the current license holder acknowledges the transfer of the facility and the associated licenses and permits to the applicant named on this form. Date: (signature) (print or type name/title of responsible official) TITLE, RIGHT OR INTEREST Prior to acceptance of a transfer application as complete for processing, an applicant shall demonstrate to the Department's satisfaction sufficient title, right or interest in all of the property on which the licensed or approved facility(ies) and project(s) are located. Methods of accomplishing this demonstration include but are not limited to: 1. When the applicant owns the property, a copy of the deed(s) to the property must be supplied; 2. When the applicant has a lease or easement on the property, a copy of the lease or easement must be supplied. The lease or easement must be of sufficient duration and terms, as determined by the Department, to permit the proposed construction and reasonable use of the property, including reclamation, closure and post closure care, where required. 3. When the applicant has an option to buy or lease the property, a copy of the option agreement must be supplied. The option agreement must be sufficient, as determined by the Department, to give rights to title, or a leasehold or easement of sufficient duration and terms to permit the proposed construction and use of the property including closure and post closure care, where required; 4. When the applicant has eminent domain power over the property, evidence must be supplied as to the ability and intent to use the eminent domain power to acquire sufficient title, right or interest as determined by the Department; 5. When the applicant has either a valid preliminary permit or a notification of acceptance for filing of an application for a license from the Federal Energy Regulatory Commission for the site which is proposed for development or use, a copy of that permit or notification must be supplied; or 6. When the applicant has a written agreement with the landowner where said agreement permits the applicant to land spread sludge or residual waste material, a copy of that agreement, the specific location of the site, and an attestation that all related rules and regulations of DEP will be followed, including specifically, permission for the applicant and DEP personnel to enter the property for inspection or to take plant, soil and water samples whenever necessary. Additional information useful to the Department in making a finding in this regard includes: A copy of the purchase and sale agreement whereby the ownership of the facility was transferred; Copies of other legal documents related to the transfer of ownership, such as bankruptcy filings, foreclosures, etc. financial and technical capacity and intent Each global transfer applicant must shall demonstrate to the Departments satisfaction the technical and financial capacity and intent to: (a) comply with all terms and conditions of the applicable licenses, and (b) satisfy all applicable statutory and regulatory criteria. The following information must be provided for a transfer application to be considered for approval. 1. An itemized estimate of total annual compliance-related costs for continued project/facility operation under existing licenses, license modifications, condition compliance orders, other approvals, and applications; and, if not yet complete, an estimate of the total cost of any unfinished construction. 2. To verify adequate financial capability to undertake continued project or facility operation, at least one the following: a. A letter from a financial institution, governmental or other funding agency indicating a commitment to provide a specified amount of funds and the way in which these funds may be used; b. A letter of "intent to fund" from the appropriate funding institution, indicating the amount of funds and the use of those funds; c. The most recent corporate or municipal annual report and supporting documents indicating availability of sufficient funds to finance the project or continuing operations including environmental compliance; d. Copies of bank statements of accounts held by the applicant or other evidence indicating that funds are available and have been set aside for the project or facility; or d. A copy of a performance bond posted to ensure that all financial obligations will be met. 3. The Department may request additional information relating to financial capacity, including, but not limited to, a. Pro forma financial statements indicating anticipated operating income and expenses; b. Audited financial statements or third-party financial analysis relating to the project/facility and/or its parent entity(ies). 4. To demonstrate technical capacity, provide a narrative describing applicant's technical ability to complete or maintain the development in accordance with the relevant license and regulatory requirements. This should include suitable evidence that the personnel associated with designing and operating the project/facility have sufficient prior relevant experience or appropriate training related to the nature of the proposed project and/or the continued operations of the facility to assure compliance with all conditions of licenses. Typically, this would include resumes of personnel responsible for environmental compliance. Solid waste submissions There are additional statutory and regulatory requirements for solid waste facilities. Please refer to the fb88 Solid Waste Management Regulations and the facility license to understand the standards and requirements for the operation of the solid waste facility. If you have any questions about the facility or the applicable regulatory requirements, please contact the DEP Solid Waste Program staff. Criminal and Civil Disclosure A. Applicants for transfer of a solid waste license, shall submit a criminal and civil disclosure statement for the following persons: (1) The individual applicant; or (2) If the applicant is a business entity, (a) any officers, directors, and partners, (b) all other persons or business concerns, having managerial or executive authority and holding more than 5 percent of the equity in or debt of that business unless the debt is held by a chartered lending institution, (c) all other persons or business concerns other than a chartered lending institution having a 25 percent or greater financial interest in the applicant, and (d) the managerial person with operational responsibility for the facility; or (3) If the applicant is a public entity, all persons having managerial or executive authority over the solid waste disposal facility. For the persons described above, the disclosure statement must include: B. The full name, business address, home address, date of birth, and Federal Employer Identification number of the persons required to disclose under this section: (The department reserves the right to request social security numbers but they should not be included with the application.) C. Related Companies. The full name and business address of any company that collects, transports, treats, stores, or disposes of solid waste or hazardous waste in which any of the persons required to disclose under this section holds at least a 5% equity interest; D. Criminal Convictions. A listing and explanation of any criminal convictions of the State, other states, the United States, or another country of the persons required to disclose under this section; E. Civil Violations. A listing and explanation of any adjudicated civil violations of environmental laws or rules administered by the State, other states, the United States, or another country by any of the persons required to disclose under this section in the 5 years immediately preceding the filing of the application; F. Consent Decrees and Administrative Orders or Agreements. A listing and explanation of administrative agreements or consent decrees entered into by, or administrative orders directed at, any of the persons required to disclose under this section for violations of environmental laws administered by the Department, the State, other states, the United States or another country in the 5 years immediately preceding the filing of the application; G. Other Proceedings. A listing and explanation of any ongoing court proceeding, or any ongoing administrative enforcement action not already provided under subsection (a) in which the person is a party, and which concerns environmental laws administered by the Board or the State; and, H. Other Information. A listing of any agencies outside of fb88 that have regulatory responsibilities over the applicant in connection with its collection, transportation, treatment, storage or disposal of solid or hazardous wastes and any other information required by the Department or the Office of the Attorney General that relates to the enforcement history or character of the applicant. Landfills or Incinerators If the facility is a solid waste landfill or incinerator, provide a narrative describing how the facility will continue to be operated to provide the public benefit and/or meet the municipal disposal capacity needs for which the facility was sited, developed and for which it is currently operated. Alternatively, you may demonstrate that you have made substantially equivalent, alternative provisions to satisfy these municipal disposal capacity needs or that these disposal capacity needs no longer exist. water discharge submissions Each applicant requesting transfer of a water discharge license must submit certain information specific to your licensed discharges to the waters of the State, as follows: 1. Name of receiving waters 2. Average daily flow to receiving waters 3. Type of discharge to receiving waters 4. Describe any changes in wastewater volume, characteristics, or treatment since issuance of the current license and any that will foreseeably be proposed in the future: air emissions submissions Applicants for Air Emissions licenses must include on a separate piece of paper, or in the signatory certification & attestation the following statement, signed by the applicant: I certify that there will be no increase in air emissions beyond that provided for in the existing licenses for the facility(ies), either in quantity or type, without prior written permission from the Department. THIS FORM MAY BE COPIED FOR USE IN NOTIFYING ABUTTING OWNERS, ANY MUNICIPALITY AND PUBLISHING THE NOTICE IN THE NEWSPAPER PUBLIC NOTICE OF INTENT TO FILE Please take notice that (name, address and telephone number of applicant) is intending to file on or about ______________________ an application with the fb88 Department of (approximate date of filing) Environmental Protection (Department) for the transfer of all Department-issued licenses concerning the facility or project located at Processing of the application will occur pursuant to (citation of statutes or rules under which the application will be processed) and the Departments Rules Concerning the Processing of Applications and Other Administrative Matters, 06-096 CMR 2. The transfer application is for (summary of licenses to be transferred and related project/activity) Requests for the Board of Environmental Protection to assume jurisdiction over the application or requests for a hearing on the application must be submitted to the Department in writing no later than 20 days after the application is accepted as complete for processing. The application and supporting documentation will be made available for review by contacting the Department of Environmental Protection offices in Augusta, (207) 287-7688, or appropriate Department regional offices during normal working hours. A copy of the application and supporting documentation will also be available at the municipal office in: _______________________________, fb88 (city-town) Public comments on the application may be provided to the Department. Send all correspondence to: Mark Margerum, Office of the Commissioner, fb88 Department of Environmental Protection, State House Station 17, Augusta, fb88 04333-0017, or Mark.T.Margerum@fb88.Gov      department of environmental protection Serving fb88 People & Protecting Their Environment PAGE 13 Consolidated Application for Multi-Bureau Transfers Revision 6, January 2021 Page  PAGE 9 of  NUMPAGES 10  department of environmental protection Serving fb88 People & Protecting Their Environment 56  , M i j k   T ˻hXth-0J&\jhXth-U\h-h-\jh-U\ h-\hhhh6\] hc#\hhhh\h6!h-hsJh/"h'hH'h) h)5h)5CJOJQJ656 j k *+($ 8T@ ^`a$gdO($ 8T@ T^T`a$gd($ @ ^`a$gdO$a$$$d&dNPa$ ()*+ M     DEGZ^d·|h K6\]hhh K6\]hhh K\h KB*phhDh KB*phh K h)5h)h)5CJOJQJhhhB*phhc#B*phhDhB*ph h\ h)\jh-U\hXth-0J&\0q$hx^h`a$gd $h^h`a$ $^`a$$h^h`a$gdO.$  $d %d &d 'd N O P Q ] ^ a$$a$($ 8T@ L]L^`a$gdO       A  .} 6:ghikux뺰h{hRf5\h{h{5\h($.h"M h^5 h"M5h(Uwh^ h'>*h-h' h)5h)hDh KB*phEh. 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