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STANDARDFOR4t 299 (W006) <br />Pmscnbod by uotn:StDAtntYr <br />M 9607 and Fedcut TOOROR34t Iv! A APPit104O3 tVHU <br />89 <br />Register Notice 5-22-95 APPLICATION FOR TRANSPORTATION AND Expires: ONovember 30, - 1004-U19zoos <br />UTILITY SYSTEMS AND FACILITIES <br />ON FEDERAL LANDS <br />FOR AGENCY USE ONLY <br />NOTE: Before completing and filml; the application, the applicant should completely review this Packa8a and schedule a Application Number <br />preapplication meeting with representatives of the agency responsible for processing the application Each agency <br />may have specific and unique requirements to he met in preparing and processing the application, Many times, with Date tiled <br />the help of the agency representative, the application can be completed at the preapphcation meeting. <br />1 Name and address of applicant (irtclude--ip code) 2 Name, title, and addre-5s of authorized agent if different 3. TELEPHONE (area code) <br />Shell Frontier Oil & Gets, Inc. from Item l (rnclidezip code) Applicant <br />A.O. Box 576 Richard Mykitta, Shell Frontier Oil & Gas, Inc. (970}675-63U1 <br />Houston, TX 7701 P.O. Box 478, Meeker, CO 81641 Authorized Agent <br />(970)675.6301 <br />4. As applicant ate you? (check onel ?. Specify what application is for: (check ate) <br />a individual a ? New authorisation <br />b. ?? Corporation- b. ? ltenewingexisting authorization No. <br />l'armcrship?Assoeiation' <br />C. c. Amend existing authorization No. <br />d State GovcmmentiState Agency <br />H d. Assign existing authorization No <br />e ? Local Government a Existing use for which no authorization has been received* <br />t ? federal Agency f ? Other- <br />' If checketf, complete supplemental page `lf checked provide details under item ? <br />6 if an individual, or partnership are you a citizen(s) of the United States? ? Yes ? No <br />7. Project description [describe in detail): (a) Type of system or facility, (e.g„ canal, pipeline, road): (b) related structures and facilities; (c) physical spccifitstions <br />(length, iridth, grading; etc.); (d) term of years needed; (c) time of year of use or operation; (f) Volume or amount of product to be transported; (g) duration and <br />timing of construction; and (h) temporary work areas needed for construction (Attach additional sheers if additional space is needed,) <br />Shell Frontier Oil & Uas, Inc., requests authorization to access and perform scientific studies at the Horse Draw Aline in section 29, T. I S., R. <br />97 W., 6th PAC A complete description of the proposed action and location are provided in the attached Plan of Development, and Wraps. <br />S. Attach a map covering area and show location of project proposal <br />9. State or local government approval: ?Attached ?Applied for ? Not required <br />lo. Nonretunnabie application fee. QAttached ?Not required <br />1I_ Does project cross international boundary or ai1'ect international waterways? ?Yes R] No (If`,es," indicate on mapi <br />12. Give statement of your technical and financial capability to construct, operate, maintain, and terminate system for which authorization is being requested. <br />Shell Frontier Oil & Gas, Inc., has the technical and financial capabiltiy to perform the tasks requested in the attached Pion of Development. <br />(Continued on page 2 ) This form is authorized for local reproduction.