application for installation of liquefied petroleum gas (lpg) facilities

Department of Licensing and Regulatory Affairs, Bureau of Fire Services, Storage Tank Division

P.O. Box 30033, Lansing, MI 48909

APPLICATION FOR INSTALLATION OF LIQUEFIED PETROLEUM GAS (LPG) FACILITIES

This information is required under Act 207 of the Public Acts of 1941, as amended, being Section 29.3c of the

Michigan Compiled Laws Annotated. Any owner who knowingly fails to notify or submits false information

shall be subject to a misdemeanor and/or civil penalties not to exceed $200 per day for each tank for which

notification is not given or for which false information is submitted.

A plan review must be completed for the following LPG installations:

1) Any container filling location.

2) A container with water capacity greater than 2,000 gallons.

3) Two or more containers with an aggregate water capacity greater than

4,000 gallons.

A request for plan review must include:

1) A plot map showing the following information:

a) Location of buildings, public roadways, railroad main lines, public sidewalks

and property lines.

b) Proposed location of the container(s).

c) Location of existing container(s); both LPG and flammable/combustible

liquids.

d) Location of point of transfer in relationship to container, buildings, public

ways, outdoor places of public assembly, driveways, main line railroad track

center lines, and the line of adjoining property which may be built upon, as

specified in Table 6.5.2.1 of the Liquefied Petroleum Gases Rules.

2) Completed form BFS-3861. Items on BFS-3861 marked with an asterisk (*) that

are either not completed or have inadequate information, may cause the

proposed plan to be disapproved.

3) A plan review fee of $203.00 per tank. A plan review will not be completed

without the plan review fee.

Make checks payable to the “State of Michigan”. Mail the completed application

and fee to:

LARA

Cashiers Office UST/AST

PO Box 30033

Lansing MI 48909

Overnight mail

LARA

Cashiers Office UST/AST

2407 North Grand River Avenue

Lansing, MI 48906

Regulated LPG facilities cannot be operated without permission from the Bureau of

Fire Services. The LPG systems must be in compliance with the storage and handling

of the Liquefied Petroleum Gases rules, 2014 AACS R 29.6101 et seq. that adopt by

reference the National Fire Protection Association Pamphlet 58, 2014 edition If you

need any further information or assistance, please contact the Bureau of Fire

Services, Storage Tank Division, at 517-241-8847.

Page 1 of 5 BFS-3861 (Rev 2/18)

Department of Licensing and Regulatory Affairs, Bureau of Fire Services, Storage Tank Division

P.O. Box 30033, Lansing, MI 48909

APPLICATION FOR INSTALLATION OF LIQUEFIED PETROLEUM GAS FACILITIES

This information is required under Act 207 of the Public Acts of 1941, as amended, being Section 29.5c of the Michigan Compiled Laws Annotated. Any owner who knowingly

fails to notify or submits false information shall be subject to a misdemeanor and/or civil penalties not to exceed $200 per violation

FACILITY NAME

NEW ASSIGNED TANK NUMBER(S)

FACILITY ID NUMBER

FACILITY STREET ADDRESS (P.O. BOX NOT ACCEPTABLE)

CONTACT PERSON (AT LOCATION)

AREA CODE & TELEPHONE NUMBER

( )

CITY

COUNTY

STATE

ZIP CODE

SUBMITTER’S NAME

STREET ADDRESS

AREA CODE & TELEPHONE NUMBER

( )

CITY

STATE

ZIP CODE

ITEM

DESCRIPTION

MANUFACTURER & PART NUMBER

1.*

CONTAINER DESIGN:

Section 5.2:

250 psi working pressure.

________________________________

CONTAINER SUPPORTS/INSTALLATION:

Section 5.2.7 & 6.6.3 & 6.6.4:

Noncombustible; steel protection may be required.

________________________________

LOCATION OF CONTAINER:

Section 6.2 & 6.3 and Table 6.3.1.1:

To important buildings, property lines which may be built upon, between

containers, to FL/CL Dikes, FL/CL ASTs & USTs, power lines, etc.

________________________________

4.*

LIQUID WITHDRAWAL CONNECTION AT CONTAINER:

Table 5.7.4.2 & 5.7.4.2(B) & 6.25.3.8

Liquid withdrawal. Combination of valves to prevent uncontrolled/accidental

release.

________________________________

PIPING INSTALLATION:

Section 5.9, 6.9, & 6.24.5

Schedule 40 - welded.

Schedule 80 - threaded.

Approved nonmetallic piping - only underground.

________________________________

STRAINER:

Section 5.17.1 & 6.18.4 Strainer element accessible for cleaning.

________________________________

FLEXIBLE CONNECTOR:

Section 5.9.6 & 6.9.6

60 inch maximum length, approved hose or listed flexible connector. May be

required due to vibration and/or movement.

________________________________

HYDROSTATIC RELIEF:

Section 5.13 & 6.13:

Where liquid is trapped between shutoffs or between shutoff and check valves or

bypass valves. Minimum 400 psi.

________________________________

PUMP INSTALLATION:

Section 5.17.2, 6.18.2, and 6.19.2:

According to manufacturer’s recommendation. Bypass, internal or external, for

positive displacement pump; or secondary means of bypass that cannot be

rendered inoperative. Pump operating control/disconnect switch near pump.

________________________________

Page 2 of 5 BFS-3861 (Rev 2/18)

APPLICATION FOR INSTALLATION OF LIQUEFIED PETROLEUM GAS FACILITIES

(Continued from Page 2)

ITEM

DESCRIPTION

MANUFACTURER & PART NUMBER

10.

BYPASS PIPING:

Section 6.9.3:

Approved pipe or copper tubing.

________________________________

11.*

LIQUID FILL/BYPASS CONNECTION AT CONTAINER:

Table 5.7.4.1(D) & 5.7.4.2 and Section 5.7.4.2(F)- Liquid Fill (F):

Combination of valves to prevent uncontrolled/accidental release. Special

attention to type of pump and hydrostatic relief if positive shutoff valve is used.

________________________________

12.*

VAPOR EQUALIZING/METER LINE CONNECTION AT CONTAINER:

Table 5.7.4.1(D) & 5.7.4.2 and Section 5.7.7.2(A) & (E)- Vapor Equalizing (E):

Combination of valves to prevent uncontrolled/accidental release.

________________________________

13.

LIQUID TRANSFER:

Section 6.19.2:

Distributing plants, distributing points, industrial plants - excess flow or ESV is

required if pipe is larger than ½ inch internal diameter.

________________________________

14.

METER:

Section 5.17.6 & 6.18.5:

Installed as recommended by the manufacturer and securely mounted and

protected against physical damage.

________________________________

15.*

LIQUID TRANSFER:

Section 6.25.3.5:

Motor fueling - excess flow or differential back pressure valve required. Rule of

thumb: excess flow rated at 1.5 times pump capacity.

________________________________

16.

APPROVED BREAKAWAY COUPLING:

Section 6.25.4.2:

Required on self-service motor fueling. Does not take the place of excess flow

valve.

________________________________

17.

APPROVED HOSE:

Section 5.9.6:

Marked for LP use - may not be used in lieu of piping.

________________________________

18.

LOCATION OF POINT OF TRANSFER:

Table 6.5.2.1 and Section 6.5:

Distances to buildings, property lines, etc.

________________________________

19.

PIPING SUPPORT/PROTECTION:

Section 6.9.3.10:

Protected against physical damage. Painted or otherwise protected against

corrosion. Nonmetallic piping - manufacturer’s recommendation and not less

than 12 inches underground.

________________________________

20.*

EMERGENCY SHUTOFF VALVES/CONNECTIONS FOR FLOW CONTROL:

Section 6-12:

Required on new and existing installations over 4,000 GWC individual or

4,000 GWC aggregate with manifolded liquid lines and where hose/swivel type

piping is 1 ½ inches or larger for liquid and 1 ¼ inches or larger for vapor.

Backcheck OK if flow is only in one direction. If under 4,000 GWC, connection

must be equipped in accordance with Table 5.7.4.1(D).

BOBTAIL LOADING: Vapor line:

Liquid line:

TRANSPORT UNLOADING: Vapor line:

Liquid line:

Page 3 of 5 BFS-3861 (Rev 2/18)

(Continued on Page 4)

APPLICATION FOR INSTALLATION OF LIQUEFIED PETROLEUM GAS FACILITIES

(Continued from Page 3)

ITEM

DESCRIPTION

MANUFACTURER & PART NUMBER

21.

BULKHEAD INSTALLATION OR EQUIVALENT:

Section 6.12.8.:

Required on new and existing installations with ESV.

________________________________

22.

EMERGENCY SHUTOFF VALVE: REMOTE SHUTOFF/THERMAL

ACTUATION:

Section 5.12.2.3:

Required on new and existing installations with ESV and on all Internal Valves.

________________________________

23.

FIXED LIQUID LEVEL GAUGE:

Section 5.7.5.3:

Required on storage containers constructed after December 31, 1965.

________________________________

24.

PRESSURE GAUGE:

Section 5.7.6:

Required on containers over 2,000 GWC or any size container for LPG service

stations.

________________________________

25.

VARIABLE LIQUID GAUGE:

Section 5.7.5.8:

Magnetic float or rotary gauge.

________________________________

26.

LABELING OF CONTAINER INLET AND OUTLET CONNECTION:

Section 5.7.8.5:

Required on containers of 2,000 GWC or more. Designate whether line

communicates with liquid or vapor space.

________________________________

27.

RAINCAPS:

Section 6.7.2.4:

Required for all pressure relief devices.

________________________________

28.

CORROSION PROTECTION:

Section 6.6.1.4 and 6.6.6.1 and 6.17

ANCHORING:

Section 6.6.1.6

________________________________

29.*

PRESSURE RELIEF DEVICES:

Section 5.7.2 & 6.7.2

No shutoff valves between relief device and container. Device must be marked

with start-to-leak pressure in psig; rated relieving capacity in CFM air at

60 degrees F and 14.7 psia; manufacturer’s name and catalog number.

________________________________

30.

PROTECTION AGAINST TAMPERING:

Section 6.19.4.2:

Six-foot high industrial-type fence with two means of egress and three-foot

clearance to allow access to egress. Second gate not required if enclosure is not

over 100 square feet, the point of transfer is within three feet of a gate, and

containers being filled are not within enclosure; OR suitable locking devices to

prevent unauthorized operation of appurtenances, system valves or equipment.

________________________________

31.

FIRE PROTECTION:

Section 6.27 & 8.5:

Industrial plant, bulk plants, and dispensing stations. Fire safety analysis

required for facilities over 4,000 gallon capacity. Fire extinguishers per rule for all

facilities, typically one 18lb B:C

________________________________

32.

PHYSICAL PROTECTION:

Section 6.6.1.2:

Where physical damage to LPG containers, or systems of which they are a part

(e.g., piping, dispensing unit), from vehicles is a possibility, crash protection shall

be provided.

________________________________

BFS-3861 (Rev 2/18)

Page 4 of 5

TYPICAL INSTALLATION OF A LIQUEFIED PETROLEUM GAS FACILITY

(Numbers correspond to the item numbers on pages 1, 2, and 3 of the application)

Page 5 of 5 BFS-3861 (Rev 2/18)

11 12

1. CONTAINER DESIGN

17. APPROVED HOSE

2. CONTAINER SUPPORTS/INSTALLATION

18. LOCATION OF POINT OF TRANSFER

3. LOCATION OF CONTAINER

19. PIPING SUPPORT/PROTECTION

4. LIQUID WITHDRAWAL CONNECTION AT

CONTAINER

20. EMERGENCY SHUTOFF

VALVES/CONNECTIONS FOR FLOW

CONTROL

5. PIPING INSTALLATION

21. BULKHEAD INSTALLATION OR EQUIVALENT

6. STRAINER

22. EMERGENCY SHUTOFF VALVE: REMOTE

SHUTOFF/THERMAL ACTUATION

7. FLEXIBLE CONNECTOR

23. FIXED LIQUID LEVEL GAUGE

8. HYDROSTATIC RELIEF

24. PRESSURE GAUGE

9. PUMP INSTALLATION

25. VARIABLE LIQUID GAUGE

10. BYPASS PIPING

26. LABELING OF CONTAINER INLET AND

OUTLET CONNECTION

11. LIQUID FILL/BYPASS CONNECTION AT

CONTAINER

27. RAIN CAPS

12. VAPOR EQUALIZING/METER LINE

CONNECTION AT CONTAINER

28. CORROSION PROTECTION

13. LIQUID TRANSFER

29. PRESSURE RELIEF DEVICES

14. METER

30. PROTECTION AGAINST TAMPERING

15. LIQUID TRANSFER

31. FIRE PROTECTION

16. APPROVED BREAKAWAY COUPLING

32. PHYSICAL PROTECTION