L-14-416, Amended Storage Tank Registration for Beaver Valley Power Station, Facility Id. 04-13281

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Amended Storage Tank Registration for Beaver Valley Power Station, Facility Id. 04-13281
ML15014A248
Person / Time
Site: Beaver Valley
Issue date: 12/21/2014
From: Mcfeaters C
FirstEnergy Nuclear Operating Co
To:
Office of Nuclear Reactor Regulation, State of PA, Dept of Environmental Protection
References
L-14-416
Download: ML15014A248 (18)
v • d • e


Text

Beaver Valley Power Station FENOC FrstErtegyNuc lear OperatigCompany SP.O.

Route 168 Box 4 Shippingport, PA 15077-0004 December 21, 2014 L-14-416 Commonwealth of Pennsylvania Division of Storage Tanks 400 Market Street Harrisburg, PA 17107

SUBJECT:

Amended Storage Tank Registration for Beaver Valley Power Station, Facility ID. 04-13281 To Whom It May Concern:

In accordance with Pennsylvania Code Title 25, "Environmental Protection,"

Chapter 245, "Administration of the Storage Tank and Spill Prevention Program,"

FirstEnergy Nuclear Operating Company (FENOC) is providing the enclosed amended Storage Tanks Registration/Permitting Application Form for the Beaver Valley Power Station (BVPS). This correspondence informs the Pennsylvania Department of Environmental Protection of BVPS's intent to register one new regulated Aboveground

-- Storage Tank.

To support a new chemical injection system, one new tank has been installed at the BVPS; tank 021A will contain Sodium Bisulfite.

If there are any questions, or if additional information is required, please contact Mr. Andrew Cangey at 724-682-4293.

Sincerel Charles V. McFeaters Director, Site Operations A Enclosure STORAGE TANKS REGISTRATION / PERMITTING APPLICATION FORM" (DEP#2360-PM-BECB0514, Rev. 8-2012) 00 Coo

FENOC First~nergyNuclear Operafi, Cortpmy Beaver Valley Power Station Route 168 P.O. Box 4 Shippingport, PA 15077-0004 cc: Document Control Desk US NRC (NOTE: No new US NRC commitments are containedis this letter.)

2630-PM-BECB0514 Rev. 812012 COMMONWEALTH OF PENNSYLVANIA Form DEPARTMENT OF ENVIRONMENTAL PROTECTION pennsylvania BUREAU OF ENVIRONMENTAL CLEANUP AND BROWNFIELDS D TF ENRONMENTAL PROTECTION STORAGE TANKS REGISTRATION I PERMITTING APPLICATION-FORM Before completing this form, read the step-by-step instructions provided in this application package.

DEP USE.ONLY Client ID#

04-13281 .... Site ID#

Facility ID # Account #

Auth ID#

Beaver Valley Power Station I APS ID#

Facility Name Master Auth ID#

1.PURPOS~E OFSUBM~ITTAL INITIAL (Applies to First-Time Facility Registration)

LI Register Tanks(s) to be Used* EL Register Tank(s) to be Temporarily Out of Use LI Register Tank(s) to be Removed EL Register Tank(s) to be Closed in Place AMENDED (Applies to Currently Registered Tank(s) or Existing Facility)

LI Changed Owner Information LI Changed Contact Information EL Changed Facility Information LI Changed Facility Operator Information n] Changed to Currently In Use Tank(s)* [ Added Tank(s) to Existing Facility*

L] Changed to Temporarily Out of Use Tank(s) LI Changed to Permanently Closed Tank(s)/Removed E] Changed Product Ej Changed to Exempt Tank(s)

CHANGE OF OWNERSHIP LI Tanks Changed Ownership and Remain at Same Facility*

  • For Underground Storage Tanks (UST), attach the UST Operator Training Documentation Form (2630-PM-BECB0514a) and copies of-the Class A and Class B operator-training.certificates.

cURRENT CII OR NEW TANK: OWNER /CLIENT INFORMATIO* "*N.

DEP Client ID# Client TypelCode Fee Kind (check one if applicable) 99862 OTHER El Volunteer Fire CoIEMS Org [:] State Govt E] Fed Govt Organization Name or Registered Fictitious Name Employer ID# (EIN). Dun & Bradstreet ID#

First Energy Nuclear Opr Co.

Individual Last Name First Name Ml Suffix SSN Additional Individual Last Name First Name MI Suffix SSN Mailing Address Line 1 Mailing Address Line 2 PO Box 4 Route 168 Address Last Line - City State ZIP+4 Country Shippingport Pa 15077 USA Client Contact Last Name First Name MI Suffix McFeaters Charles V Client Contact Title Phone Ext Director, Site Operations 724-682-7773 E-mail Address FAX 2630-PM-BECB0514 Rev. 8/2012 Form IIII SITE INFOiRMATION DEP Site ID# Site Name 236413 Beaver Valley Power Station 1 EPA ID# Estimated Number of Employees to be Present at Site Description of Site Power Plant County Name Municipality City Boro Twp State Beaver Shippingport [] [] M County Name Municipality City Boro Twp State El LI El Site Location Line 1 Site Location Line 2 Route 168 Site Location Last Line - City State ZIP+4 Shippingport Pa 15077 Detailed Written Directions to Site 1-376 to route 68 exit.

Take route 68 towards Midland Turn left onto route 168 After crossing bridge turn right Then turn right into parking lot.

Site Contact Last Name First Name MI Suffix McFeaters Charles V Site Contact Title Site Contact Firm Director, Site Operations Mailing Address Line 1 Mailing Address Line 2 PO Box 4 Route 168 Address Last Line - City State ZIP+4 Shippingport Pa 15077 Phone Ext FAX E-mail Address 724-682-7773 NAICS Codes (Two- & Three-Digit Codes - List All That Apply) 6-Digit Code (Optional) 22 / 221 Site to Client Relationship OPR 2630-PM-BECB0514 Rev. 812012 Form

-AV""FACCILITYT I FRMATION ~'

DEP Storage Tank Facility ID# Facility Name Facility Kind-04-13281 Beaver Val!ey Power Station 1 Power Plant Facility Location Line I (if different than Site Location) Facility Location Line 2.

Facility Location Last Line - City State ZIP+4 Latitude/Longitude Latitude Longitude Point of Origin Degrees Minutes Seconds Degrees Minutes Seconds Horizontal Accuracy Measure Feet -or- Meters Horizontal Reference Datum Code L] North American Datum of 1927

[7 North American Datum of 1983 LI World Geodetic System of 1984 Horizontal Collection Method Code Reference Point Code Altitude Feet --or- Meters Altitude Datum Name [] The National Geodetic Vertical Datum of 1929

[] The North American Vertical Datum of 1988 (NAVD88)

Altitude (Vertical) Location Datum Collection Method Code Geometric Type Code Data Collection Date Source Map Scale Number Inch(es) = Feet

-or- Centimeter(s) = Meters

-- qwmtFIammable-&-Combustible-L-iquid'Permit-#4(ifapplicable)

State or Municipality that Issued the Permit FACILITY OPERATOR INFORMATION

[ Same as Owner Identified in Section I1. E] Different than Owner Identified in Section II; identified below.

DEP Client ID# Client Type I Code Organization Name or Registered Fictitious Name Employer ID# (EIN) Dun & Bradstreet ID#

Individual Last Name First Name MI Suffix SSN Additional Individual Last Name First Name MI Suffix SSN Mailing Address Line 1 Mailing Address Line 2 Address Last Line - City State ZIP+4 Country Client Contact Last Name First Name MI Suffix Client Contact Title Phone Ext E-mail Address FAX 2630-PM-BECB0514 Rev. 8/2012 Form All... . V. CHANGE OF OWNE SHIP hNFOftMTIO E] All Tanks Changed Ownership at the Facility FI Some Tanks Changed Ownership at the Facility (List all applicable tank numbers in Section VI.)

OWNERSHIP CHANGE TO - Client information is noted in Section II.

OWNERSHIP CHANGE FROM (previous owner information)

Name Employer ID# (EIN) or SSN Mailing Address Line 1 Mailing Address Line 2 Address Last Line - City State ZIP+4 Previous Facility ID#

Date of Sale/Transfer SIGNATURE & CERTIFICATION OF PREVIOUS OWNER Previous owner's signature is not available. As required, the "new" owner El Yes E] No E] N/A has attached a deed of transfer or other proof of ownership to this application.

I have reviewed this form for submission to the Department. I certify under penalty of law as provided in 18 PA. C.S.A.

§4903 (relating to false swearing) and 18 PA. C.S.A. §4904 (relating to unswom falsification to authorities), that I have the authority to sign this Section for the transfer of permit or registration for the storage tanks listed herein. Further, I certify that all information provided in Section V is true, accurate and complete to the best of my knowledge and belief.

Type or Print Previous Owner Name Previous Owner Signature Title Date 2630-PM-BECB0514 Rev. 812012 Form Facility ID# 04-13281 Facility Name Beaver Valley Power Station 1

=* . . . ,=, * * = . ... D A( I T'A .. .. * " <: "........ ,- ,l*, .=*: < * .- . ..... , :"

Type or print legibly each regulated storage tank at this facility under your ownership.

Status Codes: C-Currently in Use T-Temporarily Out of Use E-Exempt R-Removed P-Closed In Place Type Codes: M-Manufactured F-Field Constructed A. ABOVEGROUND TANKS. List all new tanks. If amending information, list only those tanks being amended. Copy this page if more lines are needed.

CERCLA Name (If Hazardous Substance)

Substance Substance Name Change of Code (If Other Petroleum CAS# Exempt Prev New Install Date Status Date Capacity (Currently or Substance or Petroleum (If Hazardous Reference Tank# Status Status Type (MolDay/Yr) (Mo/Day/Yr) (Gallons) Last Stored) Based Mixture) Substance) Code 021A C M 12-01-14 1550 HAZSUB Sodium Bisulfite 7631-90-5 A

A A

A A

A A

A A

B. UNDERGROUND TANKS. List all new tanks. If amending information, list only those tanks being amended. Copy this page if more lines are needed.

CERCLA Name (If Hazardous Substance)

Substance Substance Name Change of Code (If Other Petroleum CAS# Exempt Prev New Install Date Status Date Capacity (Currently or Substance or Petroleum (If Hazardous Reference Tank# Status Status Type (MolDay/Yr) (Mo/Day/Yr) (Gallons) Last Stored) Based Mixture) Substance) Code Facility ID# *Facility Name 2630-PM-BECB0514 Rev. 812012 Form 4~Viu.:ABOVEGROU:ND & UNtiEROORQNONEW TA-KNK IS ATIONlIFOMTN The DEP Certified Installer should complete this section. New tanks listed in Section VI must also be listed in this Section. Write the Tank Number(s) and place an Z in the appropriate box for each component that was installed.

orrsin Potctin 1)Tank#

Tan Cnstucion& Tank # Tank# Tank # Tank # Tank # Tank # Tank # Tank # Tank #

Tank Construction & Corrosion Protection (1) 021A A. Unprotected Steel (Single Wall) E] El 11 El El El [] 11 El El B. Cathodically Protected Steel (Galvanic) El 11 El El 11 11 E) El El E)

C. Cathodically Protected Steel (Impressed Current) 11 El El El E] El El 11 El El D. Unprotected Steel (Double Wall) El 11 El El El 1:

El El El El E. Fiberglass (Single Wall) El El] [ 1: El .[El El F. Fiberglass (Double Wall) El El [] El] 13 l E] 1:1 G. Steel W/Plastic or Fiberglass Jacket or Double Wall Act 100 El El El 0l El] El E El El] El H. Steel With FRP Coating (Act 100 or Equivalent) El El El El El El E] El El El1 I. Steel With Lined Interior El El El 10 El El El E]

El E El J. Concrete El El El -1 El El El Ml El El

0. Cathodically Protected Double Wall Steel (Galvanic) El El El 10 El El El Ml El El P. Cathodically Protected Steel With Liner E] El Ml 1El El El El El El El Q. Double Bottom (AST's Only) El El El El- El El El El El El R. Molded Plastic Form (AST's Only) ' El El 10 El El 1E El El El S. Stainless Steel El El El if-_] El El El El El El T. Aluminum El Ml El 10 El El El El El El U. Fire Protected Double Wall AST El El El 1El El El El El El El 2630-PM-BECB0514 Rev. 8/2012 Form Facility ID# 04-13281 Facility Name Beaver Valley Power Station 1 Underground Piping Construction Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

& Corrosion Protection (2) 021A I .___E_

A. Bare Steel El El El El El El1 El El E1 B. Cathodically Protected Metallic El El 11 El El El El El El El C. Copper El El E El El1 [l El El El E]

D. Single Wall Fiberglass l El El El El El El El El E E. Single Wall Flexible (Non-Metallic) E] El El El El El El El El El G. None z E 0l El El El El El El El I. Double Wall Metallic Primary E] l El El E]

El El El l El E J. Double Wall Rigid (FRP) Primary El El El El El El [1 0l El El K. Double Wall Flexible Primary El El El El El El El El El El L. Trench Liner El El El El El El El El El El Aboveground Piping Construction Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

& Corrosion Protection (3) 021A A. Carbon Steel E] El El EE El El El1 E]

B. Cathodically Protected Metallic El El El El El El El El El El C. Copper El El El El El El El El El El D. SingleWall Fiberglass E] E] El El] E El El El El El E. Single Wall Flexible (Non-Metallic) El El El l El El El] El El El F. PVC El1 El El El El El El El El G. None El El El El l El El El El] E]

I. Double Wall - Metallic Primary El El El El El El El El El El J. Double Wall - Rigid (FRP) Primary El El El El E] E El El] El E]

K. Double Wall - Flexible Primary El El El El El El E] E E El El L. Stainless Steel El El El El El El El] El El E Spill Prevention (6) Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

UST Only Y. Installed and Liquid Tight l El El] El El El El El El El N. None l El] El l Ell E] El El El E E. Fill In Less Than 25 Gallons (Exempt) El El El El El El El El El El I

2630-PM-BECB0514 Rev. 8/2012 Form Facility ID# 04-1 281 t Valley Power Station 1 Facility Name Beaver Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

Overfill Prevention (7) 021A A. Overfill Alarm El E-] El l E]

EE El El] El E B. Ball Float Valve and No Air Eliminator El El El E-] El E-] El El E

]

E. Fill In Less Than 25 Gallons (Exempt) 10 El El El El El El El El El N. None El El El El El El El El El El S. Drop Tube Shutoff Device 0 El El El El E]l-] EE El E]

Y. Yes (AST only) El1 El El El El El] El El El Emergency Containment (16) Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

ASTs Only 021A _

E. Exempt [D El El El El El El El El El N. No ElEl El El El El El El El El Y. Yes El E El El *E El El El E]

Secondary Containment (17) Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

ASTs Only 021A E. Exempt E] El El El El El El El El El N. No El E] El El El El El El El El Y. Yes E El El El El El El El El El StagelVaporRecovery.(19) Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

USTs Only A. Coax EE

]

El El El El El El El El B. 2 Point E E] El El El1 El El El El N. None or Incomplete El El El 0l El El El El El El Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

Stage 11Vapor Recovery (20)

A. Complete Balance System E] E] El El El El El El El El B. Complete Assist System El El E] [El El El El El El C. UG Piping Only El El El El El El 0l El El El N. None El El El El El [El El E 2630-PM-BECB0514 Rev. 8/2012 Form r

Tank-top Containment Sumps Present (21) Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

USTs Only N. None, El El El El El EE E] El El El S. At some penetrations E] E] El El El El El E] El El A. At all penetrations E] El El El El El El El El El Under-dispenser Containment Present (22) Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

USTs Only N. None El El El] l El El] El El E E]

S. At some dispensers El El El El El El El El El El A. Under all dispensers El El El El El El El El El El Line Leak Detector Shuts Off Pump (23) Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

USTs Only I N. No El El El El El El ElEl El1 El Y. Yes El El E] El El El El E] El E 2630-PM-BECB0514 Rev. 812012 Form Facility lD# 04-13281 Facility Name Beaver Valley Power Station 1 VL.

I!,ABOVEGRROUND UNDERGRON TANK INFORMATIONNFOR.PERMANENT 9LOSMU RE,'.

Write the Tank Number(s) and place an Z in the appropriate box for each tank that was removed or closed in place.

Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

Items2&3below apply to large ASTs and all USTs

1. Contamination suspected or observed and notification of El LI LI LI El El LI LI EL L]

contamination form was submitted to the appropriate DEP regional office.

2. Closure document submitted to the appropriate DEP LI EL LI E] EL El 11 LI L] E]

regional office.

3. Closure document kept on file by owner. E] LI LI LI LI LI LI LI LI LI 2630-PM-BECB0514 Rev. 812012 Form K~ ~~x Q O NER CERTIFeiCATIOW',. ..

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. This registration is conditioned upon compliance with provisions of the Storage Tank and Spill Prevention Act of 1989, all applicable regulations, and with the requirements for obtaining and maintaining a permit required under this Act. I certify my responsibility for assuring the following permit requirements:

" Storage tank systems are in compliance with applicable administrative, technical and operational requirements as specified in Subchapter E for underground tanks or Subchapter F or G for aboveground tanks.

" Tank handling and inspection activities are performed by an individual possessing DEP certification in the appropriate category as required in Subchapters A and B.

" Underground storage tanks meet the applicable financial responsibility requirements of Subchapter H (relating to financial responsibility requirements).

" A Spill Prevention Response (SPR) Plan must be submitted to the appropriate DEP regional office for facilities that have aboveground storage tanks where the total capacity of all aboveground tanks is greater than 21,000 gallons.

  • Other state and local permits required for operation of the tank system have been attained.

My signature represents to the Department that I own the storage tank(s) and am aware of the responsibilities and potential liabilities as an "owner" arising under the Storage Tank and Spill Prevention Act of 1989 and all applicable regulations. I am also advised that statements made on this registration is made subject to the penalties of 18 PA. C.S.A.

Section 4904 relating to unsworn falsification to authorities.

Type or Print Owner Name Charles V McFeaters

___/_)_6** --

_______________Director, e- Site Operations IL/i bY Owner Signature _ - Title Date Information & Invoices should be sent to:

Z Tank Owner Contact E] Site Contact

[E Facility Operator nI Other Responsible Party Identified Below Organization Name or Registered Fictitious Name Employer ID# (EIN) Dun & Bradstreet ID#

Individual Last Name First Name MI Suffix SSN Additional Individual Last Name First Name MI Suffix SSN Mailing Address Line 1 Mailing Address Line 2 Address Last Line - City State ZIP+4 Country Client to Site (Facility) Relationship 2630-PM-BECB0514 Rev. 812012 Form X. INSTALLER IREMOVER CERTIFICATION This section must be *ompleted by the certified tank handler(s) who is responsible for the installation or removal from service of the aboveground and underground storage tank systems listed in Section VI. Tank modification activity must be submitted on a 'Tank Modification Report" form.

SIGNATURE & CERTIFICATION OF INSTALLER(S) I REMOVER(S)

As the certified tank handier responsible for the tank handling activities in the category or categories listed, I certify that all tank handling activities were conducted in compliance with the design, installationland operation standards of the Storage Tank and Spill:Prevention Act of 1989 and all applicable regulations. I also certify, under penalty of law as provided in 18 PA C.S.A. 4904 (relating to unsworn falsification to authorities), that the information provided therein is true, accurate and complete to the best of my knowledge and belief.

Construction Individual Certification Company InstallerlRemover Tank# Installer/Remover Name Standard Certification# Category Certification# ., qature Date 021A Jack Ballie Jr ASTM D1 998 4691 ANMVX 1780 12-01-14 SXI1 INSPECTOR CERTIFICATION This section must be completed by the DEP Certified Tank InspectOr(s) who is responsible for verifying the installation standards for field constructed tanks and aboveground tanks greater than 21,000 gallons listed in.Sectlon VI. (Type or Print legibly) A DEP Certified Inspector may also be responsible for inspecting existing ASTs which are entering regulated service for the first time with no tank handling activities.

SIGNATURE & CERTIFICATION OF INSPECTOR(S)

As the certified tank ispector responsible for verifying tank handling activities and construction standards, I certify that the tank(s) listed below are constructed to appropriate irWiustry standards and, if applicable, to manufacturer's specifications; that the tank(s) have been tested as required by industry standards; and that the tank(s) meet or exceed applicable design and 'operating standards; and are in compliance with the requirements of the Storage Tank and Spill Prevention Act of 1989, and all applicable regulations. I also c4rtify under penalty of law as provided in 18 PA C.S.A. 4904 (relating to unswom falsification to authorities), that the Information provided herein is true, accurate and complete to the best of my knowledge and belief.

I Construction Individual Certification Company Inspector Tank# Inspector Name Standard Certification# Category Certification# Signature Date XII. SITE SPECIFIC INSTALLATION PERMIT NUMBER If a site-specific permit was required for a new tank installation, write the tank number(s) and permit number(s) In the appropriate box.

Site-Specific Installation Permit Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank# Tank#

__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . 1 _

REGULATORY CORRESPONDENCE REVIEW FORM NOP-LP-4007-01 Rev. 01 Page 1 o f 2 (1) LETTER NUMBER: (2) LETTER

SUBJECT:

Beaver Valley Power Station Facility ID 04-13281 Amended Storage L-14-416 Tank Registration/Permit (3) SUBMITTAL DUE: (4) PREPARER / PHONE NO.: (5) LICENSING BASIS DOCUMENT REVIEW COMPLETED: EL YES 0 N/A 12/21/14 Xb Cgy7-8 3 CHANGE REQUIRED: El YES Z NO (6) POSTING REQUIRED (7) REGULATORY COMMITMENTS (8) OATH OR AFFIRMATION REQUIRED BY 10CFR19.11 CONTAINED IN-SUBMITTAL?

LIYES ED NO [NO EJYES EYES [D NO (9) PREPARER COMMENTS, SPECIAL INSTRUCTIONS:

(10) LICENSING, TECHNICAL STAFF AND MANAGEMENT REVIEW Signature indicates that the review is complete in accordance with NOP-LP-4007, and to the best of the reviewer's knowledge, the submittal is accurate and complete, and no significant information has been presented in or excluded from the submittal such that the reader could be misled. Management reviewers' signatures also indicate that the level of review provided by their respective organization is acceptable. Where commitment ownership is indicated, sianature also indicates acceotance of responsibilitv for commitment comlletion.

Commitment No Comments Print Or Type Name & Number for Signature Date Comments Provided Organization Ownership Comments Provided Preparer AD. Cangey N/A 0 C - N/A N/A Peer Reviewer N ET/

C.J. Weaver N/A --- /h-- L B.H. Furdak N/A ________ " ___ Li 1-1 r-i

-- I ---"IOM I" I &' - "tfW" W 1 I- I

______I I [I r---

El

_L El

_L Li

_L EL Li Li (11) RECOMMENDATION FOR SIGNATURE Print or Type Name Commitment No Comments Number for Signature Date Comments Provided Ownership _ Comments Provided Donald J. Salera N/A  :>r-) " Li (12) REVIEWER COMMENTS - NO RESPONSE REQUIRED (Provide comments requiring response on Form NOP-LP-4007-03):

REGULATORY CORRESPONDENCE REVIEW FORM - INSTRUCTIONS NOP-LP-4007-01 Rev. 01 TITLE Page 2 of 2 Prior to forwarding for review, Preparer enters page information as BLOCK indicated.

BLOCK 1 LETTER NUMBER - Preparer enters sequential number.

BLOCK 2 LETTER SUBJECT - Preparer enters the subject of the correspondence.

BLOCK 3 SUBMITTAL DUE - Preparer enters the date the correspondence is due.

BLOCK 4 PREPARER I PHONE NO. - Enter the name of the preparer of the correspondence.

BLOCK 5 LICENSING BASIS DOCUMENT REVIEW COMPLETED - Preparer indicates whether the licensing basis review was completed (YES or N/A) and whether a licensing basis change is required (YES or NO). (See NOP-LP-4007 Section 4.1.9)

BLOCK 6 POSTING REQUIRED BY 10 CFR 19.11 - Preparer indicates whether correspondence to the NRC is required to be posted per the requirements of 10 CFR 19.11.

BLOCK 7 REGULATORY COMMITMENTS CONTAINED IN SUBMITTAL - Preparer indicates whether Regulatory Commitments are contained in the correspondence.

BLOCK 8 OATH OR AFFIRMATION REQUIRED - Preparer indicates the need for an oath or affirmation statement.

BLOCK 9 PREPARER COMMENTS, SPECIAL INSTRUCTIONS - Preparer enters any desired additional remarks or instructions regarding the subject correspondence.

BLOCK 10 LICENSING, TECHNICAL STAFF AND MANAGEMENT REVIEW - Preparer identifies the desired reviewers and their organization. Reviewers should include organizations that provided input to the correspondence, organizations potentially affected by regulatory decisions, and other knowledgeable technical organizations. If correspondence includes Regulatory

. . TTI Co--mit -ts; preparer idg'itifies manager-lv-6-elffm-*itm-eto--wrs-and'liststhe-cdmmitmrent" numbers.

Reviewers sign and date the appropriate fields, and indicate whether or not comments are provided. Signature indicates that, to the best of the reviewer's knowledge, the submittal is accurate and complete, and that no significant information has been presented in or excluded from the submittal such that the reader could be misled. Management reviewers' signatures also indicate that the level of review provided by their respective organization is acceptable. For reviewers with identified commitments, signature indicates acceptance of responsibility for commitment completion, and will result in assignment of the commitment to that organization.

BLOCK 11 RECOMMENDATION FOR SIGNATURE - The appropriate Fleet Licensing or Regulatory Compliance Manager determines whether the correspondence has received an adequate review and is therefore recommended for final signature and release, signs and dates where appropriate, and indicates whether comments are provided. Additional reviews for signature recommendation may be obtained at management discretion.

BLOCK 12 REVIEWER COMMENTS - NO RESPONSE REQUIRED - Reviewers provide any comments that do not require response from preparer. Comments requiring documented response must 1ý

.......... be provided on a REGULATORY DOCUMENTATION COMMENT FORM (Form NOP-LP-4007-03).

REGULATORY CORRESPONDENCE CHECKLIST NOP-LP-4007-02 Rev. 01 Page 1 of 2 Letter Number: L-14-416 The reviewers of this correspondence signify the review of the items on the checklist by placing initials in the boxes below. As necessary, explain deviations, exceptions and non-applicable items in the Comments sections provided.

A. Peer Review:

No. Item Checked Initials

1. Correct organizations are listed on the review and routing forms, including organizations providing statements of fact. -
2. References to Codes and Standards are accurate and in sufficient detail. N/A
3. Subject line of an NRC cover letter references the NRC TAC number, ifapplicable. N/A
4. The letter number has been entered on the letter and subsequent pages. _______
5. Format and presentation are consistent with NORM-LP-4003 and any deviations justified. J-
6. Pages containing information pursuant to 10 CFR 2.390 are appropriately marked. N/A
7. Oath or affirmation (if required) - unsworn declaration is present. N/A
8. Dates are correct and consistent throughout the submittal. all f
9. Grammar, spelling and editorial presentation have been verified to be correct. _ __
10. All applicable parts of the submittal are present (e.g. letter, enclosures, attachments, affidavits).
11. If Regulatory Commitments are included in NRC correspondence, the regulatory commitments are re- N/A stated on an attachment (Regulatory Commitment List) to the submittal and identified for ownership on the Regulatory Correspondence Review Form (NOP-LP-4007-01). If no regulatory commitments are included in the correspondence, a statement to that effect is provided in the correspondence.
12. The letter content is factually complete, is presented logically and supports conclusions reached. i' w'
13. Enclosures and attachments are appropriately identified and contain all the necessary information to

-supportconclusion of the submittal without the need to obtain other reference material. 6 J "v

14. If action is requested of the NRC, the requested action date has been included with appropriate N/A justification.
15. If the letter is in response to NRC requests, there is a clear tie between each question/request and the N/A associated response, and each question/request is completely and clearly answered in the response.
16. References listed have been reviewed, are available, and support the information contained in the correspondence. 9 J//
17. Statements of fact have been verified to be accurate. 671k'il
18. Actions stated as being complete have been verified to be complete. C, -*kj
19. Submittal does not contain information that has a material effect on information previously submitted to N/A the NRC in response to a Notice of Violation or other enforcement action (e.g., Davis-Besse head event) or may significantly affect the NRC's understanding of plant activities. If it does, expedited communication paths with the NRC have been determined.

Review Performed By (Print Name): Date: /4-0-N Comments:

This letter is for the PADEP Amendment of Storage Tank/Registration Permit.

-REGULATORY CORRESPONDENCE CHECKLIST NOP-LP-4007-02 Rev. 01 Page 2 of 2 B. Cognizant Manager Review (Final Submittal Review Prior to Signature Authority):

No. Item Checked Initials

1. Comments obtained during the review cycle have been resolved and incorporated within the applicable sections of the submittal. The submittal remains factual and complete.
2. Review signatures, or equivalent, have been obtained on Correspondence Review Forms (NOP-LP-4007-01).
3. The correspondence has been reviewed for regulatory commitments, licensing positions, prudency, appropriate wording, and potential regulatory impact.
4. Ifthe letter is in response to NRC questions or requests, there is a clear and complete response to N/A each question or request and all questions have been satisfactorily addressed.

Review Performed By (Print Name): 2b o_ ,*C.L_ *,- :*S Date: .VZZ.IL40 Comments: This letter is for the PADEP Amendment of Storage Tank/Registration Permit.

C. Responsible Organization Review (Administrative Support Follow-up):

- 1 11*,/=

  • M I-IfSA4-WF r-I I,*1 I I *i,/I I
  • I* I1,1;;*1 I . I- Ini4fina-II llllKIIg I
1. Date is on the letter and the letter has been put on the appropriate company letterhead.
2. Submittal cover letter is signed correctly.
3. Oath or Affirmation (if required) - unsworn declaration is present. If a notarized statement is requested N/A by the signature authority, the statement page is signed and notarized.
4. When appropriate, initial notification and copy of submittal has been provided to the NRC via electronic N/A mail.
5. Submittal has been mailed, or provided electronically (in accordance with NRC guidance on electronic submittals) to all appropriate recipients, with appropriate enclosures, attachments, etc.
6. Internal FENOC distribution is complete.
7. Regulatory Commitments have been documented in accordance with FENOC commitment N/A management procedures.
8. Additional FENOC actions have been documented, as necessary, in appropriate activity tracking N/A systems.
9. Correspondence documentation package is complete, and ready for future referral.

Review Performed By (Print Name): 1__'n e Perhu"rru? Date: /- /--

Comments: This letter is for the PADEP Amendment of Storage Tank/Registration Permit.

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