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<br />VDARD FORY 399(11-sl) <br />:dbed by DOI/OSDA/DOT APPLICATION FOR 7RANSPORTA710N AND <br />96-187 e.,d Fea•..t UTILITY SYSTEMS AND FACIl1TiE5 FORM APPRgVED <br />uer Notice 6-3-61 OMB NO. 1004-00(s0 <br />ON FEDERAL LANOS Expires: May 31, 1986 <br />NOTE: -Before cam lets fOR AGENCY USE ONLY <br />p ng and Iiiing the appl(cation, the applicant-should eomPletaly review this pack- Application Number <br />age and schedule a preapplieation meeting with represemalives of the agexy responsible for <br />processing the application. Each sgexy may have specific sad unique nquiremtnts to b¢ met - <br />in preparing and processing the application. Many times, with the help of the agaxy npresew- Dale (iced <br />lative, the application can be completed at the preairpt(ention meeting. <br />1. Name and address of applicant (iadude zip 2 Name, title, and address of author(zed agent 3. TELEPHONE (arts code. <br />c~del• i[ different from Item 1 (include zip code) Applicant <br />Occidental Oil Shale, Inc. Kay G. Kofford, Site Manager 303 244-3001 <br />P, ~. BOX 268 Authorized Agent <br />Grand Junction, CO 81502 <br />4. As applicant are qou? (cbec4 one) S. SpeeUp what application is [or. (cbec4 one) <br />a. a Individual a. ®Nea adhor(zelion <br />b: ~ Corporation • 6. ~ Renew e>isting auingrizalioa No. . <br />c. Cj Partnership/Association ` e. ~ Amerd existing authorization No. <br />d. ~ Stale Government/Stale Agency d. ~ Aastgn e:iating adhmization No. <br />e. QLocel Government e. Q Existing use for which no authorizat[oo has peen received <br />f. Lj Federal Agency (. ~Olher• <br />• IJ checked, complete supplements( page • !f checked provide details under item 7 <br />~ti. U an Irdividnai, or partnership ue you • dtizen(s) of the United States? Q Yes ~ No <br />7. Aroject description (describe in de+ailk (n) Tppe of system v (acetify, (e. g., canal, pipelinr, road): (b) related structures and lacili- <br />ties; (c) phpsinl apecHicatiotts (length, tnidtb, grad(ng, etc i; (d) term of gears heeded; (e) time of gaar of use or operation; (t) Vof- <br />ume or amount of product to be transported; (g) duration and timing o[ construction; sad Qr) tetaporary work vans heeded for eensltue- <br />tion. (Atrarh additional shtr+s, i/ additiowai space is wetded) <br />(See Detailed Plans) <br />• -a). Process water evaporation pond(s) and water transmission pipeline. <br />b). Minor structures for transfer of water from one pond to another, manholes along <br />pipeline, pond lining, fence. . <br />c). There will be approximately 24,500 tin. ft of 6 inch diarfleter inflow pipeline buried <br />-5 foot deep. The ponds will consist of a series of 3 ponds totaling 8 surface <br />acres. Initial pond construction will be to build one 4 acre pond which will <br />require grading approximately 50,000 L.Y. The additional ponds will only be <br />built if needed. <br />(See Attached Ex}libit "A") <br />8. Attach map covering area and show location of project proposal <br />!I, State or focal government approval: ~ Atlache0 ®Appli¢d for a Not required May not be required <br />10. Nonreturnable application fee: ~ Attached Q Nol required <br />I1. Does project Cross internationa[ boundary or afTed international waterways? 0 Yes ®No (fl "yes." mdicare as raopl <br />12. Give statement of your lechnieal and IMaacial tapabilily to eoastrud, operate, maintain, ami terminate system [or which authorizatioi. <br />Ls being requested <br />Occidental Oil Shale, Inc. is technically and financially capable of constructing, operatir <br />maintaining and terminating the project for which the right-of-way is needed. <br /> <br />