Analysis of the permitting processes associated with exploration of Federal OCS leases. Final report. Volume II. Appendices Page: 46 of 282
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EXHIBIT 1 - (Continued)
CONTINUED FRCM THE FRONT
VII. SIC CODES i4d. .n order otpr.,7r.T -
A. FiRST a secoNo
jsperijsy ..peciY
7
C. TwNIO O rOURTN
7 Ipeel/y/ Ispecifyl
VIII. OPERATOR INFORMATION - * -
A. kAhEE . I iti name li taa in
. NM Ite ViII-A el t the
o." ner7
9 OYES ..NO
C. STATUS Or OPRATOR (Enter ine appropriate letter into the answer box: if "0:ner 0ecy.l O. 'ONE tare. rode S no.)
F FDE RAL . M P' 5 LI jotner than federal or State) (specify
S - STATE 0 - OTHER (specify)
P - PRIVATE
E. STREET ON P.C. BOX
SI I I I I I I I i i I
P CIT7 OR TOWN G.STAT . w, ZCOO IX. INOIAN LAND -
e . , a i a I a a i i i i Iis :ne lac-tv iOcated on I.can :anus?
CYES (Z NO
X. EXISTING ENVIRONMENTAL PERMITS - -
A. NeOo S un icharte s to Surface Water o. is e in s roo Proposed Sources a
9 N 9 P
waer b1 underground n eteon of rTuidl ec rs
C. C RA lHa:.1rdows Wastes/ E. OT H R ISveCljyl ,/
9 r i/
Attach to this application a topographic map of the area extending to at least one mie beyond pr boundaries. The map inust show
the outline of the facility, the location of each of its existing and proposed intake and discharge cures, each of its hazardous waste
treatment, storage, or disposal facilities. and each well where it injects fluids underground. Include all springs, rivens and other surface
water bodies in the map area. See instructions for precise requirements.
X. NATURE Uf BUSIlNESS ILroEde a Drte de.e-tranN-
XIII. CERTIFICATION two instruction) :. - - - - a
.l certify under penalty of low that / have personally examined and amn familiar with the information submitted in this application and all
attachments and that, based on my inquiry of those persons immediately responsible for obtaining the information contained in the
application, J believe that the information is true, accurate and complete. / am aware that there are significant penalties for submitting
false information, including the possibility of fine and imprisonment.
A. NM E O F FIC IA L. T ITLE (Type or print) a. S1 GNATUI _uM' C. G A TE SIG NE O
COMMENTS ruOF GICIAL USI: ONL Y ---===+ "2 ;'
1 . wl 1 - 1. 1 l I 1 1 X1 i
C
EPA Foem 3610.115-601 REVERSE
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Analysis of the permitting processes associated with exploration of Federal OCS leases. Final report. Volume II. Appendices, report, November 1, 1980; United States. (https://digital.library.unt.edu/ark:/67531/metadc1184664/m1/46/: accessed July 16, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.