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HomeMy WebLinkAboutC96-076 Bureau of Land ManagementSTk-IDARD FORM 299 (10/95) Frescnbed by DOWSDAMOT P.L. 96-487 and Federal Register Notice 5-22-95 APPLICATION FOR TRANSPORTATION AND UTILITY SYSTEMS AND FACILITIES ON FEDERAL LANDS NOTE: Before completing and filing the application, the applicant should completely review this package and schedule a preapplication mating with representatives of the agency responsible for processing the application. Each agency may have specific and unique requirements to be met in preparing and processing the application. Many times, with the help of the agency representative, the application can be completed at the preapplicanon meeting. CV6 7660' FORM APPROVED OMB NO. 1004.0060 Expires: August 31. 1998 FOR AGENCY USE ONLY Application Number Date filed 1. Name and address of applicant (include zip code) 2. Name. title, and address of authorized agent if different 3. TELEPHONE (area code) ) from Item 1 (include zip code Eagle County Applicant Board of County Commissioners Don Fessler, Director (970) 328-8605 P.O. Box 850 Eagle Countj Road &Bridge Dept. Authorized Agent Eagle, CO 81631 Ea0le, CO2581631 970 328-8830 4. As applicant are you? (check one) 5. Specify what application is for. (check one) a. ❑ Individual a. ® New authorization b. ❑ Corporation* b. ❑ Renewing existing authorization No. c. ❑ Patmership/Association' c. ❑ Amend existing authorization No. d. ❑ State Govemment/State Agency d. ❑ Assign existing authorization No. ' e. Local Government e. ❑ Existing use for which no authorization has been received' f ❑ Federal Agency f. ❑ Other - * if checked. complete supplemental page ' if checked. provide details under frem 7 6. If an individual, or partnership are you a citizen(s) of the United States? ❑ Yes ❑ No 7. Project description (describe in detail): (a) Type of system or facility. (e.g.. canal. pipeline. road): (b) related structures and facilities: (c) physical specifi (length. width. grading, etc.); (d) term of years needed: (e) time of year of use or operation. (f) Volume or amount of product to be transported. (g)uratr timing of construction: and (h) temporary work areas needed for construction (Attach additional sheers, if additional space is needed.) a) County Road b) There are already existing County roads being used, Road Nos. 50, 51, and 51A c) As built d) Life of roads e) Some portions year around and other portions won't have maintenance f) Only as needed for maintenance g) No construction, only maintenance as needed h) None S. Attach a map coveting area and show location of project proposal 9. State or Loc government approval: ❑ Attached ❑ Applied for ® Not required 10. Nonreturnable application fee: ❑ Attached ® Not required 11 _ Daes nroiect cross international boundary or affect international waterways? ❑ Yes �9 No (If "yes." indicate on map) 12. Give statement of your technical and financial capability to construct. operate, maintain, and terminate system for which authorization is being requestea. Facilities would be operated by the Eagle County Road & Bridge Department (Continued on reverse) This form is authorized for lou~rl reprtx 137 Discribe other reasonable alternative routes ar, .fes considered. There are none b. Why were these alternatives not selected? , See 13a. c. Give explanation as to why it is necessary to cross Federal Lands. The Eagle County road nos. 50, 51, and 51A already exist across federal lands. 14. List authorizations and pending applications filed for similar projects which may provide information to the authorizing agency. (Specify number, date. code. or name) C-43109 15. Provide statement of need for project. including the economic feasibility and items such as: (a) cost of proposal (construction. operation, and maintenance): l estimated cost of next best alternative: and (c) expected public benefits. County road nos. 50, 51, and 51A are a vital link between Gypsum and property owners in this area. a) The cost of maintenance will be performed by Eagle County Road and Bridge Department; b) There are no other viable alternatives; c) Better access and safer driving conditions. 16. Describe probable effects on the population in the area. including the social and economic aspects. and the rural lifestyles. Safer driving conditions 17. Describe likely environmental effects that the proposed project will have on: (a) air quality: (b) visual impact: (c) surface and ground water quality and quantity: the control or structural change on any stream or other body of water. (e) existing noise levels: and (f) the surface of the land. including vegetation. permafrost. sc and soil stability. a) None; b) None; c) No change; d) No change; e) No change; f) No change 18. Describe the probable effects that the proposed project will have an (a) populations of fish. plantlife. wildlife. and marine life, including threatened and endange species: and (b) marine mammals. including hunting, capturing, collecting. or kiding these animals. a) None b) None 19. State whether any hazardous material, as defined in this paragraph• will be used. produced. transported or stored on or within the right-of-way or any of the right -of facitides, or used in the rnnsttucdon operation maintenance or termination of the right-of-way or any of its facilities. "Hazardous material" means any substai pollutant or contaminant that is listed as hazardous under the Comprehensive Environmental Response, Compensation. and Liability Act of L980, as amended definition of hazardous substances under CERCLA includes any "hazardous waste" as defined in the Resor U.S.C. 9601 et seq., and its regulations. The de Conservation and Recovery Act of 1976 (RCRA), as amended. 42 U.S.C. 9601 et seq., and its regulations. The term hazardous materials also includes any nuclei byproduct material as defined by the Atomic Energy Act of 1954. as amended. 42 U.S.C. 2011 et seq. The term does not include petroleum, including crude oil or fraction thereof that is not otherwise specifically listed or designated as a hazardous substance under CERCLA Section 101(14). 42 U.S.C. 9601(14). clot does the e include natural gas. IWO 20. Name all the Depa ment(s)/Agency(ies) where this application is being filed. Bureau of Land Management P.O. Box 100-9 Glenwood Springs, CO 81602 I HEREBY CERTIFY. That I am of legal age and authorized to do business in the State and that I have personally examined the information contained in the applic attO hrtieve that the informatigrmubmitl4is correct to the best of m knowledge. Si; ore of `Mair Date i I — r L :le IS. U.S.0 Section 1001. makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false. frctitio .udulent statements or reprasentauons as to any matter within its jurisdiction. PORTION TO BE MAINTAINED BY COUNTY (END @ S. LINE SEC.18 & E. LINE OF SEC. 20) PORTION NOT MAINTAINED BY COUNTY ll�� NORTH SCALE: 1 "-800(