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Before the FERC Application for New License for the Annex Creek ...

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d) Incinerator burning more than 1000 lbe. per hour?<br />

e) Industrial process?<br />

3. Will a drinking water supply be developed that serves more than a<br />

singIe-fa mil y residence?<br />

4. Will you be processing seafood?<br />

s. Will food service be provided to <strong>the</strong> pubUc or workers?<br />

6. Will <strong>the</strong> project result in dredging or disposal of fill i.n wetlands or<br />

waterways?<br />

7. Is on-lot sewage or greywater disposal involved or necessary?<br />

8. Will your project result in <strong>the</strong> development of a currently unpermitted<br />

facility <strong>for</strong> <strong>the</strong> disposal of domestic or industrial solid waste?<br />

9. Will your project require offshore drilling or vessel transport of oil.<br />

or o<strong>the</strong>r petroleum products as cargo, or include onshore facilities<br />

with an effective storage capacity of greater than 10 f 000 barrels<br />

of such products?<br />

10. Will your project require <strong>the</strong> application of oil or pesticides to <strong>the</strong><br />

surface of <strong>the</strong> land?<br />

yes-<br />

x<br />

X<br />

X<br />

-,:ro-<br />

X<br />

X<br />

X<br />

X<br />

X<br />

X<br />

x<br />

IF YOU ANSWERED NO TO ALL THESE QUESTIONS, YOU DO NOT NEED A PERMIT OR<br />

OTHER APPROVAL FROM THE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION<br />

(DEC) •<br />

IF YOU ANSWERED YES TO ANY OF THESE QUESTIONS, CONTACT THE DEC REGIONAL<br />

OFFICE TO IDENTIFY AND OBTAIN ANY NECESSARY APPLICATION FORMS.<br />

If you have already contacted <strong>the</strong> Alaska Department of Environmental Conservation,<br />

are you now submitting an application <strong>for</strong> permit (s)?<br />

If no, indicate <strong>the</strong> reason below:<br />

a. (person contacted) told me on (date)<br />

that no DEC approvals or permits were required <strong>for</strong> ~th:--:-is-p-r-o-:-je-c-t-.-----<br />

b. DEC regulations have no requirement <strong>for</strong> a permit or approval.<br />

c. O<strong>the</strong>r.<br />

* * * * * • • • • • • • • • • • * • * * * * * * * •<br />

To <strong>the</strong> best of my knowledge, this in<strong>for</strong>mation is accurate and complete.<br />

Signed<br />

cpqa/ PERMIT<br />

* • * • PLEASE ATTACH YOUR PERMIT APPLICATIONS * * * *<br />

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