Laserfiche WebLink
I USDA -Forest Service <br />• <br />• <br />C l <br />~ OMB No. 0596-OOS2 <br />FOREST SEAVICE USE ONLY <br /> Date Received Region Number State Code County Cade <br />SPECIAL-USE APPLICATION AND REPORT (mMdd/yyyy) <br />(REF.: FSM 2712. 36 CFR 261.Sd) <br />INSTRUCTIONS Congressional Forest Code Unit ID Symbol <br />Applicant should request a meeting with the Dist. Number (Admin. Unit No.) (NFFID No.) <br />Forest Service representative responsible for <br />processing the application, prior to completing <br />this form. This meeting will allow a discussion of Ranger Dist. No. User Number Kind of Use Cotle <br />the form's requirements and identify those items (Resp. Dist.) <br />to be omitted. <br />• PART 1-APPLICATION (Applicant Completes) <br />1. Applicant Name and Address 2. Authonzed Agent Name, Title and 3. Area Code and Tele hone No. <br />Mountain Coal Company LLC Address (include Zip Code) if different a. A licant's <br />West Elk Mine from Item 1. <br />PO Box 591 he Corporation Trust Co. b. Authorized Agent's <br />Somerset, CO 81434 orporation Trust Center <br />1209 Orange Street 302 658-4205 <br />4. As applicant are you? (Mark one box with "X") 5. Specify what application is for: (tvlark one box with "X") <br />a. [ I Individual a. ; xl New authorization' <br />b. ~) Corporation' b. [ ] Renew existing authorization <br />c. [ ] Partnership/Association' c. [ 1 Amend existing authorization' <br />d. [ ] State GovernmenUState Agency d. [ I Other' <br />e. [ I Local Government <br />t. [ ] Federal Agency ' If marked "X", provide details under Item 7 <br />' If marked "X", complete PART II. <br />6. If you are an individual or partnership, are you also a citizen(s) of the United States? <br />x 1 Yes [ ] No <br />7. Describe in detail the land use, including: (a) type of use, activity, or facilih/; (b) related structures and facilities; (c) <br />physical specifications (length, width, acres, etc.); (d) term of years needed; (e) time of year of use or operation; (f) <br />duration and timing of construction; (g) temporary work areas needed for construction; and (h) anticipated need for <br />future expansion. (If extra space is needed, use Page 3, REMARKS). Mountain Coal Company (l-4CC) , <br />Test Elk Mine (WEM) will require maintenance and monitoring of tcvo (2) <br />temporary pipelines (6" plastic) that traverse along an existing USFS road <br />drill hole locations and associated well heads; drill site pads and roads; <br />one pump station location (2 pumps), associated with a thermal (combustion) <br />event that began on or about January 28, 2000 in the 4VEM. (b) Related <br />equipment associated with maintenance and monitoring activities is attache <br />(c) The pipeline is approximately 8,000 Lin.Ft. long (portion on USFS <br />property) the drill site area to be used encompasses approximately 6 acres. <br />cont. 4 <br />8. Attach map covering area and show location of proposed use and/or furnish legal description of the land. <br />Map is attached. <br />9. Give statement of your technical and financial capability to construct, operate, and terminate the use for which <br />authorization is requested, including the protection and restoration of Federal lands. (If extra space is neetled, use <br />page3.REMARKS). Corporate Surety is held by the Colorado Division of <br />Minerals and Geology (CDMG) for Permit C-80-007, MR 270. <br />t0a. Gescribe other reasonable alternative proposals considered. <br />Gage i a~ 5 <br />~ooin War/CS. Faieasa a ]0 <br />