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SCANDAIID POIUI 399 ``111!971 <br />by DOW?aA1001 <br />p1_ tIW7 ad Fial <br />• nnl.rNo+o.d-a+y APPLICATl~0RTRAN9P0RTATIONAN0 <br />U BTEIAS AND fACLRil9 <br />ON FEOEAAL UNDB <br />NOTE: &fale canpkdn~ +Id Ntn~ dr appUsasbss. tlse spplkaat +Inuld cwnpkely Anew Ws pactate sed schedule + <br />prappllculoa aseesm~ wim rtpstaeeulfra d Iti +nary tapomihla for procestlp me +pPlla oa. Fxh a{eiey <br />may pave speeille sod uoiqu Iegsisaaeoe to Oe met is ``and psomdn{ de aPpliadoa May t4net wim <br />me help d me aRncy lepreseendve. t!e applkadoe can eompleed u ma prtypplkatlon meetia{. <br />1. Name aM addrers d+pplicanl lindsd~ zip code! <br />2. Nsme, thle, ud addses+ of sumorizsd area if dlReren <br />from lem I (inclydr zip cods! <br />White River Nahcolite Minerals <br />Ltd. Liability Co. or IdRN <br />OMD NOP~Op -0~pdp <br />Eg1Ya: Au~uu 71, If9~ <br />F011 AGENCY USE 0!4 <br />Applle+lbe Nstmhar <br />Dae Ned <br />7. TELEPHONE(amcod~ <br />AppGsaet <br />970-8i8-3674 <br />Aullsodzsd Amt <br />1, As applkau >m you? ([hrct mrl S. Spcd(y wlul applkalbD b for. (cArc! owl <br />a ^ ladividsel a, ^ New +umonndm <br />p. Q CaporubD• b, ^ ReeewiuQ eahdoe wmorindm No. <br />e. ^ partoenhip~Asaoci+tlm• G ® Ameede:{srhgsumonrsdmNo. COC-576'_5 <br />d. ^ Stae GovrSlsIDeDVSCIe Amy ~ d, ^ Assijo eaisdo~ aemerRadoe No. <br />a ^ I,anl GavermxDt a ^ F~adu` use for rhic5 Do snt4orizadca ha bem rtoKd• <br />C. ^ Fed:tsl Aaenry (. ^ Qha• <br />• ff chretad minplrrs zrpplanrrtra! paar • !f duelr4 providr demiLt uxler I'rw 7 <br />6. Use lediridsal, or parmeship sre you a citaa(s) of de Uaised Srass7 ^ Yes ^ Na N / A <br />7. Peoject desaipdao (drscnbe w dtreiq: (a) TYPe oCsysaem ar lst>Nry. IRE. cant y~rlbu, rood): (b) retied sesscmtes and (adHtlsa: (e) physical specifsruonv <br />(4naei width ;rtsdinr• rtl: (d) term d years Deeded: (e) dme d yev d use or apvasbs (D Vobme «smaoet of psodms m be vaasporoed: (V doraioe aed <br />timisq oCconswmos aad (h) ~nrY vork area Deeded for croseec4oe (ArracA oddirioml aheea, if arldieaaalspas Er wdrd) <br />(a) Remove trees, construct one drill pad for two production eaells (ZB-4HI and 2B-5HR), <br />with product pipeline to each from existing lines. The power line will be extented <br />to recovery well with one-two power poles. <br />(b) Pipeline to each well head, powerline aad access road will cross existing well pad <br />"~A-SV. <br />(c) Injection well 2B-4HI and 2B-~HR,recovery well will be located on one drill pad <br />appro:timately 400' X 250' or 2.2 acres in size. See attached map for location of <br />proposed ROW amendment. <br />(d) Ten years (e) operate year round (f) none (g) construction in Gov., L997 <br />(h) included in (c). <br />i. Anachamap covciD~ssa sod shrrw bobedprojeu poposd See attached map <br />9. St+eDrlue =oveareuap/tevaL• O Aesrhed ~ AppGedfor ^ NarequeedColotado Division of Minerals @ Geology <br />10. Nossreeaeabla apptindea fee ®Asuded Q Na regaeed <br />11. Does ptojat uoas iatesesdoed baedry or +Cfeot mernsriord walCray+? ^ Ya +Y1 No (1J}ss' isld{edar aw rsw) <br />12. Gire staesrcet otyoir eebeinl aDd fmasscial opahihry n coasDD4 opcae, auinniD, >od termmae system for which sumaindrn is brio reqursted. <br />White River Nahcolite Pinerals LTD. Liability Co. has financial capability to <br />construct, operate, ma:Lntain and terminate system, <br />(CoeeWeed ea sevens) Thla farm V atdhorixed tot lad rtprodnedos <br />1:.. <br />