26.11.2014 Views

Public Comment. Volume III - Montana Legislature

Public Comment. Volume III - Montana Legislature

Public Comment. Volume III - Montana Legislature

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

STANDARD CORM 199<br />

Pr*9c*bd by DOz/USDuwT APPLICATION FOR TRANSPORTATION ~0<br />

P.L. U-487 and C.d.v.1<br />

R.~I.I.. N~IIC. 6-34 I UTILITY SYSTEMS AND FAClLlTtts<br />

ON FEDERAL LANDS<br />

-<br />

NOTE: Before completing and filing the application. the applicaat s~ould completely review thispukye<br />

and schedule a prespplkation meeting with repreaedai,e, of the agency responsible for<br />

proceasing the applicatiorr Each agency may have s#cIflc'.,,d unique requlr.ments to be met<br />

in preparing and proceaaing the applicatiorr Many times. ri(h the help of the yency representative,<br />

the application csn be completed at the preapplicab<br />

FORM APPROVED<br />

OMB NO. 10049Q60<br />

hpim: J ~ H 30,1995<br />

Authorized Agent<br />

4. An applicant are you? (cbeck one) 1 5. Specify what application ia for: (cbrck one)<br />

r<br />

Individual<br />

b. C Corporation<br />

c. PutnenNp/Aaaocistion<br />

6 Aata Gaemment/State Agency<br />

e. Local Govammenc<br />

I. Federal Agency<br />

s. q New authorization<br />

b. Re- cxintiag authorization NO.<br />

c. 0 Amend existi* authaization No.<br />

d. 0 A aah exlatins mtborization No.<br />

a. q Em- we for which no authorization haa been received<br />

f. Oother*<br />

I / cbeckrd, complete rupplenrntal page I I/ cbecL.4 provide drtailr under ltrm 7<br />

6. U an irdlviduel. or punenhip w you a citizen(a) of the Waked States? q Yea q No<br />

7. Rolect deacription (dercribe in derail): (a) T yp. d aystem or fuility, (r.8.. canal, pipeline. road); (b) related atructmes and faciUtlm;<br />

(c) phyaical ap.cIfkatioru (Ien8tb. wid~b.~din~, etc.): (d) term of yeus ~eded; (0) time of you of uac or operation; (0 <strong>Volume</strong><br />

a amount of product to be traruported; (3 uration a d Udq of construction; end (b) temporuy work weaa woded for constmctiom-<br />

(Attacb additional rbeerr. i/ addirional space ir needed)<br />

-<br />

8. Attuh map covering uea and ahor location d project propoasl<br />

- - - - - -<br />

9. State or local gave-ent approvak 0 Attached Applied for Not required<br />

10. NoM1wmble spplicatlon fee: q Attached Not roq0L.d<br />

11. Does pwiject croaa inter~tlonal b o d y or sffect intermtiml watervaya? Yaa q No (I/ "yes." indicate on map)<br />

t<br />

12. Glve ststement of your technical and financial capability to con* t. operate. maintain, and terminate ayatem for which authorization<br />

ia being requested.<br />

(Continurd on rrurrre) Tbi form b antho& for bal mproduc(io&<br />

6 7<br />

-164- <strong>Volume</strong> Ill: <strong>Public</strong> <strong>Comment</strong>

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!