STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND AND WATER LAND USE PERMIT APPLICATION AS

Size: px

Start display at page:

Download "STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND AND WATER LAND USE PERMIT APPLICATION AS"

Damian Butler
5 years ago
Views:

1 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND AND WATER LAND USE PERMIT APPLICATION AS Applicants must complete all sections of this application. In addition, applicants proposing: the use of the uplands and non marine waters must also complete the Supplemental Questionnaire for Use of Uplands and Non Marine Waters accompanying this application; off-road travel must also complete the Supplemental Questionnaire for Off-Road Travel accompanying this application; and/or the use of tide and submerged lands must also complete the Supplemental Questionnaire for Use of Marine Waters accompanying this application. Other items that must accompany the completed application are: a (non-refundable) $100 application filing fee; a 1:250,000 or 1:63,360 scale USGS map showing the location of the proposed activity; additional items identified and required in any supplemental questionnaire(s) to this application; an Alaska Coastal Management Questionnaire if the proposed use is within the Coastal Zone; and additional pages if more space is necessary to answer the questions completely. Completed Land Use Permit Applications should be mailed to one of the following offices: Public Information Center Public Information Center MLW Information Office 550 W. 7 th Ave, Suite Airport Way P.O. Box Anchorage, AK Fairbanks, AK Juneau, AK (907) (907) (907) Applicant Information: LAS # Applicant Name Date of Birth Doing Business As Contact Person EIN Mailing Address with City, State and Zip Address ( ) ( ) ( ) ( ) Home Phone Work Phone Cell Phone FAX If you are applying for a corporation, give the following information: Name, address and place of incorporation: Is the corporation qualified to do business in Alaska? Yes [ ] No [ ]. If yes, provide name, address and phone number of resident agent: Type of User, Select one: [ ] Private non-commercial ( personal use ) [ ] Commercial Recreation or Tourism [ ] Public Non-profit including Federal, State, Municipal Government Agency [ ] Other commercial or industrial Duration of Project: The proposed activity will require the use of state land for: (Check one) [ ] a single term of less than one year. Beginning month: Ending month: [ ] a multi year term for up to 5 years. Beginning year: Ending year: If multi year and seasonal, circle months of use in each year. Jan., Feb., Mar., Apr., May, Jun., Jul., Aug., Sept., Oct., Nov., Dec. Land Use Permit Application A (Rev.04/07) Receipt Type FF (Non-Guide) or 7A (Guide) Page 1 of 4

2 Project Location Latitude/Longitude or UTM: or Section:, Township:, Range:, Meridian: (The spaces below are to be used if the boundaries of the proposed project cross section lines.) Section:, Township:, Range:, Meridian: Section:, Township:, Range:, Meridian: Proposed project will require the use of up to acres. (Add additional sheets as necessary) Project Description - Describe in detail your intended use of state land. (State land also includes all tide and submerged lands beneath coastal waters and all shorelands beneath other navigable water bodies of the state.) Discuss development and activities. (Attach additional pages as necessary.) Should a portion of the permitted area be closed to the general public? Yes [ ] No [ ]. If yes, explain which portion and provide justification for exclusive use: Site Description - Briefly describe the current condition of the proposed site of use, noting any trash, garbage, debris or signs of possible site contamination (If significant, we recommend you provide pictures to establish initial conditions): Are there improvements or materials on the site now? Yes [ ] No [ ] If yes, briefly describe the improvements, their approximate value, and who owns them (We recommend you provide pictures of improvements): Land Use Permit Application A (Rev.04/07) Receipt Type FF (Non-Guide) or 7A (Guide) Page 2 of 4

3 Site Description continued - Describe the natural vegetation --- ground cover, trees, shrubs --- and any proposed changes. Describe the location of any estuarine, riparian, or wetlands and any noticeable animal use of area. Site Access - Describe how you plan to access the site, and your mode of transportation. If your access is by aircraft, specify the type and size of aircraft: To access the site, the aircraft is equipped with floats [ ] wheels [ ] skis [ ]. Number of people 1. Indicate the number of employees and supervisors who will be working on the site. 2. Indicate the number of customers who will be using the site per year or season. 3. Indicate the number of days the site will be used per year or season. Environmental Risk / Hazardous Substances - In the course of your proposed activity will you generate, use, store, transport, dispose of, or otherwise come in contact with toxic and/or hazardous materials, and/or hydrocarbons? Yes[ ] No[ ]. If yes, please describe: The types and volumes of fuel or other hazardous substances present or proposed: The specific storage location(s): The spill plan and prevention methods: Land Use Permit Application A (Rev.04/07) Receipt Type FF (Non-Guide) or 7A (Guide) Page 3 of 4

5 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND AND WATER Contract Administration 550 W 7th Ave., Suite 640 Anchorage, AK (907) Northern Region 3700 Airport Way Fairbanks, AK (907) Southcentral Region 550 W 7th Ave., Suite 900C Anchorage, AK (907) Southeast Region 400 Willoughby, Suite #400 P.O. Box Juneau, AK (907) APPLICANT ENVIRONMENTAL RISK QUESTIONNAIRE The purpose of this questionnaire is to help clarify the types of activities you propose to undertake. The questions are meant to help identify the level of environmental risk that may be associated with the proposed activity. The Division of Mining, Land and Water's evaluation of environmental risk for the proposed activity does not imply that the parcel or the proposed activity is an environmental risk from the presence or use of hazardous substances. Through this analysis, you may become aware of environmental risks that you did not know about. If so, you may want to consult with an environmental engineer or an attorney. Applicant s Name Doing Business As Address City State Zip ( ) ( ) Message Phone Work Phone Contact Person Describe the proposed activity: In the course of your proposed activity will you generate, use, store, transport, dispose of, or otherwise come in contact with toxic and/or hazardous materials, and/or hydrocarbons? Yes No If yes, please list the substances and the associated quantities. Use a separate sheet of paper, if necessary A (Rev. 04/06)

7 Land Use Permit Application Supplemental Questionnaire for: Off Road Travel Answer the following questions if your proposed activity includes off-road travel. Terrain Factor. Circle the following terrain type(s) that best describes your route of travel: Wetlands Open, non-tundra or wetland areas. Rivers or other water bodies. Wooded areas with trees of 6 or greater diameter (at breast height). Tundra areas. Vehicles and Weight. List the number and kinds of vehicles to be used for motorized travel, the weight of each vehicle and the weight of each trailer or sled (including loaded weight) to be carried by that vehicle: We will have 4 snowmachines, 2 will be 900ACE super wide track and 2 will be 600ACE wide track. Each snowmachine will tow 2 sleds, a standard freighter and a crossfox. 2 each Ski Doo 900ACE super wide track 700ilbs each (without rider) 2 each Ski Doo 600ACE wide track 600lbs each (without rider) 4 each standard freighter sleds 65lbs each (empty) 4 each Crossfox sleds 65lbs each (empty) Load weight of the sled could be roughly estimated 500lbs: 220lbs fuel, 100lbs (est,.) of camping equipment, and another 100lbs of misc. Mileage State the average total miles traveled in one round trip: State the number of trips proposed: 1 each year March 25 April 10 each year Season Factor. Proposed date(s) of travel will be: From: To: Stream and Water Body Crossings. - Note who you contacted in the ADF&G, Division of Habitat: 5/2/2017 Jack Winters (No Off Road Date: Person: permit is needed per Jack) Fuel and Hazardous Substance Factor. The volume of fuel and hazardous substances to be used is the total volume (in gallons) to be carried on one vehicle and any trailers or sleds that vehicle is towing. Maximum volume of fuel (in gallons) that is being transported by one vehicle and any trailers or sleds it is towing: 45 gallons. Hazardous substances other than fuel: Substance whites gas for stoves Substance Do you have an Oil Discharge Prevention and Contingency Plan approved by the Alaska Department of Environmental Conservation? Yes[ ] No[ ] Do you have either a trained spill response team or a contract with a spill response company? Yes[ ] No[ ] Land Use Permit Supplemental Questionnaire for: Off-Road Travel E (Rev.05/11) Receipt Type FF (Non-Guide) or 7A (Guide) Page 1 of 1

8 NSF Caribou Project The goal of this project is to understand the traits of the landscape that control caribou foraging behavior and landscape use patterns. We will collect vegetation samples throughout the home range of the Central Arctic Caribou herd during calving, peak forage growth, fall migration and during winter over multiple years and measure the chemical traits of the plants, that we believe influences their foraging patterns. We have randomly assigned plot locations and we will helicopter into sites with our base of operations being the Toolik Lake Field Station. We will also be using the Dalton Highway as a sampling platform as well when possible. During our summer sampling periods (mid-june, mid-july, late September and in late March/early April) we will harvest plants in 3, 1 m 2 plots that are within a 100 yard radius of the GPS locations. In 25% of our locations we will insert a nickel-size IButton temperature sensors that will be marked with a 12 inch tall, ½ inch diameter PVC tube. These sensors will be retrieved the following year so that we have an estimate of annual soil temperature traits. Once each summer-july-we will insert and pull out, a 1-inch tube into each plot that is 30 inches long to collect a soil core. This soil core will be used to measure soil C and N contents. Our winter sampling trips collecting vegetation above the snow, will also include several snow traits that are of value to the oil and gas industry. We will be measuring snow depth, snow hardness, soil temperatures and will collect snow samples for black carbon and water isotopes. The snow physical properties will be used in a spatial model to depict the depth, hardness and snow cover properties all across the CAH home range. These maps will be made available to our DNR and industry partners.

10 OBJECTID_POINT_X POINT_Y Long Lat Source_LC Section Township Range Meridian Tussock Shrub Tundra SEC 35 T6S R9E UM Tussock Shrub Tundra SEC 22 T6S R9E UM Tussock Shrub Tundra SEC 18 T4S R11E UM Tussock Shrub Tundra SEC 1 T7S R14E UM Tussock Shrub Tundra SEC 17 T6S R10E UM Tussock Shrub Tundra SEC 36 T5S R11E UM Tussock Shrub Tundra SEC 3 T5S R11E UM Tussock Shrub Tundra SEC 20 T4S R9E UM Tussock Shrub Tundra SEC 34 T4S R15E UM Tussock Shrub Tundra SEC 2 T4S R11E UM Tussock Shrub Tundra SEC 32 T3S R12E UM Tussock Shrub Tundra SEC 8 T3S R13E UM Tussock Shrub Tundra SEC 22 T2S R11E UM Tussock Shrub Tundra SEC 17 T2S R13E UM Tussock Shrub Tundra SEC 11 T1S R9E UM Tussock Shrub Tundra SEC 8 T1S R12E UM Tussock Shrub Tundra SEC 30 T1N R13E UM Tussock Shrub Tundra SEC 24 T1N R13E UM Tussock Shrub Tundra SEC 12 T1N R9E UM Tussock Shrub Tundra SEC 25 T3N R11E UM Tussock Shrub Tundra SEC 16 T3N R12E UM Tussock Shrub Tundra SEC 35 T9S R8E UM Tussock Shrub Tundra SEC 25 T8S R9E UM Tussock Shrub Tundra SEC 17 T8S R12E UM Mesic Sedge-Dwarf Shrub Tundra SEC 36 T9N R9E UM Mesic Sedge-Dwarf Shrub Tundra SEC 35 T6S R14E UM Mesic Sedge-Dwarf Shrub Tundra SEC 2 T5N R13E UM Mesic Sedge-Dwarf Shrub Tundra SEC 19 T6N R9E UM Mesic Sedge-Dwarf Shrub Tundra SEC 9 T7N R8E UM Mesic Sedge-Dwarf Shrub Tundra SEC 13 T8N R7E UM Mesic Sedge-Dwarf Shrub Tundra SEC 4 T8N R8E UM Mesic Sedge-Dwarf Shrub Tundra SEC 22 T9N R8E UM Mesic Sedge-Dwarf Shrub Tundra SEC 30 T6N R9E UM Mesic Sedge-Dwarf Shrub Tundra SEC 35 T7N R10E UM Mesic Sedge-Dwarf Shrub Tundra SEC 15 T7N R7E UM Mesic Sedge-Dwarf Shrub Tundra SEC 3 T7N R7E UM Mesic Sedge-Dwarf Shrub Tundra SEC 33 T8N R10E UM Mesic Sedge-Dwarf Shrub Tundra SEC 19 T8N R14E UM Mesic Sedge-Dwarf Shrub Tundra SEC 6 T8N R9E UM Mesic Sedge-Dwarf Shrub Tundra SEC 25 T9N R8E UM Mesic Sedge-Dwarf Shrub Tundra SEC 24 T9N R7E UM Mesic Sedge-Dwarf Shrub Tundra SEC 36 T9N R13E UM Mesic Sedge-Dwarf Shrub Tundra SEC 33 T10N R10E UM Mesic Sedge-Dwarf Shrub Tundra SEC 17 T12N R11E UM Birch Ericaceous Low Shrub SEC 27 T16S R12E UM Birch Ericaceous Low Shrub SEC 29 T3S R12E UM Birch Ericaceous Low Shrub SEC 19 T6S R13E UM Birch Ericaceous Low Shrub SEC 28 T5S R13E UM Birch Ericaceous Low Shrub SEC 10 T4S R12E UM Birch Ericaceous Low Shrub SEC 27 T3S R10E UM Birch Ericaceous Low Shrub SEC 22 T3S R10E UM

11 Birch Ericaceous Low Shrub SEC 24 T2S R12E UM Birch Ericaceous Low Shrub SEC 36 T1S R13E UM Birch Ericaceous Low Shrub SEC 30 T1S R13E UM Birch Ericaceous Low Shrub SEC 19 T1N R13E UM Wet Sedge SEC 22 T4N R13E UM Wet Sedge SEC 6 T5N R13E UM Wet Sedge SEC 19 T6N R13E UM Wet Sedge SEC 1 T6N R12E UM Wet Sedge SEC 28 T7N R12E UM Wet Sedge SEC 26 T6N R12E UM Wet Sedge SEC 22 T6N R13E UM Wet Sedge SEC 36 T8N R11E UM Wet Sedge SEC 19 T8N R14E UM Wet Sedge SEC 19 T9N R11E UM Wet Sedge SEC 29 T9N R14E UM Wet Sedge SEC 35 T10N R6E UM Dwarf Shrub - Dryas SEC 30 T16S R13E UM Dwarf Shrub - Dryas SEC 22 T16S R12E UM Dwarf Shrub - Dryas SEC 6 T16S R14E UM Dwarf Shrub - Dryas SEC 18 T5N R14E UM Dwarf Shrub - Dryas SEC 35 T6N R8E UM Dwarf Shrub - Dryas SEC 35 T6S R14E UM Dwarf Shrub - Dryas SEC 7 T4S R14E UM Tussock Tundra SEC 13 T7S R10E UM Tussock Tundra SEC 26 T6S R9E UM Tussock Tundra SEC 2 T5S R11E UM Tussock Tundra SEC 36 T4S R12E UM Tussock Tundra SEC 13 T1N R5E UM Tussock Tundra SEC 10 T1N R7E UM Low-Tall Willow SEC 28 T1S R7E UM Low-Tall Willow SEC 28 T5S R9E UM Low-Tall Willow SEC 5 T5S R12E UM Low-Tall Willow SEC 28 T1S R11E UM Low-Tall Willow SEC 27 T4S R10E UM Burned Area SEC 21 T5S R8E UM Burned Area SEC 1 T5S R7E UM Burned Area SEC 35 T4S R7E UM Burned Area SEC 32 T3S R6E UM Burned Area SEC 19 T3S R7E UM Sparsely Vegetated SEC 31 T15S R15E UM Sparsely Vegetated SEC 17 T16S R14E UM Sparsely Vegetated SEC 31 T15S R15E UM Sparsely Vegetated SEC 6 T8N R12E UM Sparsely Vegetated SEC 7 T12N R5E UM FWM: Carex Aquatillis SEC 26 T8N R12E UM FWM: Carex Aquatillis SEC 28 T5N R4E UM FWM: Carex Aquatillis SEC 11 T10N R6E UM FWM: Carex Aquatillis SEC 17 T7N R13E UM FWM: Carex Aquatillis SEC 22 T11N R11E UM

1. Indicate the number of employees and supervisors who will be working on the site. 5-10

1. Indicate the number of employees and supervisors who will be working on the site. 5-10 28068 Site Description continued - Describe the natural vegetation --- ground cover, trees, shrubs --- and any proposed changes. Describe the location of any estuarine, riparian, or wetlands and any noticeable