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APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB APPROVAL NO. 0710-003 <br /> (33 CFR 325) Expires October 1996 <br /> Public reporting burden for this collection of information is estimated to average 6 hours per response, including the time for reviewing instructions, <br /> searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send <br /> comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,to <br /> Department of Defense, Washington Headquarters Service Directorate of Information0perations and Reports, 1215 Jefferson Davis Highway, Suite <br /> 1204, Arlington,VA 22202-4302; and to the Office of Management and Budget. Paperwork Reduction Project 10710.0003), Washington,DC <br /> 20503. Please DO NO RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having <br /> jurisdiction over the location of the proposed activity. <br /> PRIVACY ACT STATEMENT <br /> Authority: 33 USC 401, Section 10; 1413, Section 404. Principal Purpose: These laws require permits authorizing activities in, or affecting, <br /> navigable waters of the United States, the discharge of dredged or fill material into waters of the United States, and the transportation of dredged <br /> material for the purpose of dumping it into ocean waters. Routine Uses: Information provided on this form,will be used in evaluating the application <br /> for a permit. Disclosure: Disclosure of requested information is voluntary. If information is not provided, however, the permit application cannot be <br /> processed not can a permit be issued. <br /> One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this <br /> application(see sample drawings and instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed <br /> activity. An application that is not completed in full will be returned. <br /> (ITEMS 1 THRU 4 TO BE FILLED BY THE CORP <br /> 1. APPLICATION NO. 2. FIELD OFFICE CODE 3. DATE RECEIVED 4. DATE APPLICATION COMPLETED <br /> (ITEMS BELOW TO BF FILI ED BY APPLICAN <br /> S. APPLICANT'S NAME 8 AUTHORIZED AGENT'S NAME AND TITLE /sn syenr it nor reovrreel <br /> Western Fuels - Colorado , LLC <br /> 6. APPLICANT'S ADDRESS 9 AGENT'S ADDRESS <br /> P.O . Box 628 Nucla , Co . 81424 <br /> 7. APPLICANT'S PHONE NOS. W AREA CODE 10. AGENT'S PHONE NOS. W AREA CODE <br /> a. Residence 303-864-7252 a Residence <br /> b. Business 303-864-2165 L. Business <br /> 11. STATEMENT OF AUTHORIZATION <br /> I hereby authorize, to act in my behalf as my agent in the processing of this application and to <br /> furnish, up/on request, supp ementa in forma io m'su pb df this permit application. <br /> APPLICA ATURE DATE <br /> / NAME, LOCATION AND DESCRIPTION OF PROJECT OR ACTIVITY <br /> 12. PROJECT NAME OR TITLE Isee mnwvcuonu <br /> New Horizon Mine - Irrigation Pump Station #1 <br /> 13. NAME OF WATERBODY, IF KNOWN 14. PROJECT STREET ADDRESS ra.ppic.bw <br /> Calamity Draw-Tributary of San Miguel 27646 W 5th <br /> 15. LOCATION OF PROJECT Nucla , Colorado 81424 <br /> Montrose Colorado <br /> COUNTY STATE <br /> 16. OTHER LOCATION DESCRIPTIONS. IF KNOWN, lsee insrrvcrionsl <br /> NW1 /4 , SW1 /4 Section 6 T46n R15w <br /> 17. DIRECTIONS TO THE SITE 1 &1 /2 miles SW of the City of Nucla , Colorado . SE of <br /> NPDES Pond 007 on Western Fuels-Colorado , LLC . Mine Permit C-81-008 . <br /> END FORM 4345. Feb 94 EDITION OF SFP 91 IS OBSOLETE. (Proponent: I <br />