poration has been completed; and that the corporation is authorized to proceed with the project applied for according to the existing laws of the State of

I further certify that attached hereto is a true copy of the by-laws with all amendments to date, and that the following is a true list of the principal officers and of the directors of the said corporation, with the full name and official designation of each:

(Here insert the full name, address, and official designation of each principal officer and director.)

Witness my hand and the seal of the corporation this day of 19----

[SEAL]

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(Secretary)

I,

secretary of

(Name)

lands) (lands within National Forest) (lands Indian Reserva

poration) (strike out all but one) whose post office address is

hereby makes application to the Federal Power Commission for a license to authorize construction, operation and maintenance of certain project works fully described herein. (If a corporation, report State of incorporation and location of principal place of business. Corporations, municipal or private and associations, must give name and address of person who is authorized to act as agent and consent to accept service upon such agent as equivalent to service upon applicant.)

(2) A concise general description of the project is as follows, and plans of the principal project works are shown on Exhibit L, which is submitted herewith and made a part of this application:

(Give the name or other designation of the project and disregard such of the following items as are not applicable. Give approximate size and material of which dam, conduits, flumes, pipes and powerhouse are constructed, estimated head to be developed, estimated flow available in stream, proposed flow through plant, and approximate capacity of water-wheel and generator.)

stream, near the town of National Forest, as shown on the map submitted herewith as Exhibit K, which map is hereby made a part of this application.

(4) The lands of the United States which will be affected are:

(a) Surveyed land in public land survey: (Sections and subdivisions thereof; township, range, principal meridian)

(b) Unsurveyed land in public-land State: (Estimated location by sections and subdivisions thereof; township, range, principal meridian)

(c) If not in a public-land State: (Distance and general direction from a city, town, or fixed monument or physical feature delineated on a map of a scale of 1:500,000 or 1:1,000,000)

(5) The following project facilities are located in whole or in part on lands of the United States (dam, reservoir, etc.).

(6) What State water or other permits have been obtained authorizing the construction, operation and maintenance of the proposed project?

(7) The project will produce power for use in (tourist camp, mine, farm, etc., for domestic, industrial or other specified use, by pumps, cooking, heating, etc.) of the power output, percent will be sold percent will be used

to and by the applicant.

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NOTE: The following requirements are prescribed with respect to the filing of: the project map as Exhibit K; the plans of structure as Exhibit L; and the information relating to the conservation of fish and wildlife resources as Exhibit S:

There shall be submitted pursuant to sections 4.60 and 131.6 with each application for license for a minor project having installed water-wheel capacity of 2,000 horsepower or less, a map, designated as Exhibit K, showing the portion of the stream developed, the location of all essential project works (dams, reservoirs, conduits, powerhouses, tailraces, access roads, and transmission

1If applicant is an individual, prepare affidavit accordingly, using only appropriate portion of above form. If applicant is an association, each member must be a citizen and sign the affidavit.

Exhibit K shall conform to the following specifications and shall show the following information:

(1) The exhibit shall be an ink drawing on tracing linen, not smaller than 8 inches by 101⁄2 inches, accompanied by ten prints thereof drawn to an appropriate scale of one inch equals not more than 1,000 feet.

(2) The project boundary shall be stated separately for each facility, and shown on the map. The number of feet on each side of the survey center lines of the conduits, roads, powerhouse unit, tailrace and transmission lines shall be at least 10 feet. The distances of the project boundary from the survey center lines need not be identical on both sides of the center lines of the structures nor for all parts of the project, and, in the vicinity of the powerhouse, they shall be large enough to allow at least 10 feet on each side of the powerhouse and to include all appurtenant project structures. Unequal offset or changes in offsets with points of changes should be definitely described on the map. The project boundary inclosing the dam and reservoir should be a surveyed line with stated courses and distances, which line shall be not less than 20 feet horizontal measurement from the ends and from the axis on the downstream side of the dam and not less than 10 feet outside of a contour around the reservoir established by the highest point on the dam and abutment. The area of the enclosure in acres should be given. The project area and boundary at the powerhouse, dam, and reservoir should, if necessary for clarity, be shown in an insert sketch to a larger scale than that used for the rest of the project works.

(3) If practicable, there shall be shown one or more ties by distance and bearing from a definite point or points on the project boundary which point or points can be identified on the ground, to established corners of the public land survey or to a mineral monument or other fixed recognizable object if the land is unsurveyed.

(4) If the project affects unsurveyed Government lands, the protraction of township and section lines shall be shown; such protractions, whenever available, to be those recognized by the agency of the United States having jurisdiction over the lands.

(5) Where no government lands are affected, Exhibit K may show only the general location of the project.

(6) The map shall bear the following certification dated and signed by the applicant: "This map is a part of the application for a license made by the undersigned this day of 19..."

(Name of applicant)

Exhibit L shall conform to the following specifications and shall show the following information:

(1) The exhibit shall be an ink drawing on tracing linen or process tracing if legible and of durable quality, not smaller than 8 inches by 101⁄2 inches, accompanied by 10 prints thereof drawn to an appropriate scale of one inch equals not more than 100 feet.

(2) Plan, elevation and section of dam, conduit and powerhouse. Scales are not specified, but it is desired that they be no larger than necessary to show clearly the information required. Drawings should be simple.

(3) The drawing shall bear the following certificate dated and signed by the applicant: "This drawing is a part of the application for a license made by the undersigned this day of

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19-.."

(Name of applicant) Exhibit S, to be submitted with applications for all minor projects shall show the following information:

The effect, if any, of the project upon the fish and wildlife resources in the project area or in other areas affected by the project and proposals for measures considered necessary to conserve and, if possible, to enhance fish and wildlife resources affected by the project. The exhibit shall include functional design drawings of any fish ladders proposed to be constructed in compliance with section 18 of the Federal Power Act, such other facilities or developments as may be necessary for the protection, conservation, improvement and mitigation of losses of fish and wildlife resources in accordance with section 10(a) of the Act, and cost estimates for such facilities and developments. The Applicant shall prepare this exhibit on the basis of studies made after consultation and in cooperation with the U.S. Fish and Wildlife Service, Department of the Interior, and appropriate State fish and wildlife agencies and in case of public lands, advise Federal Agencies having jurisdictional responsibilities therefor of its proposed plans. The exhibit shall include a statement on the nature and extent of applicant's consultation and cooperation with the above agencies.

(Secs. 4(e), 9, 10(a), 10(1), 41 Stat. 1065, 1068; 16 U.S.C. 797(e), 802, 803) [Order 260, 28 FR. 316, Jan. 11, 1963; 28 F.R. 1630, Feb. 21, 1963; 28 F.R. 2270, Mar. 8, 1963, as amended by Order 350, 32 F.R. 9651, July 4, 1967; Order 358, 33 F.R. 2383, Jan. 31, 1968]

organized under the laws of the State of and having its office and principal place of business at in the State of being desirous of obtaining a license under the Federal Power Act, hereby makes application to the Federal Power Commission for a preliminary permit for months, for the proj

ect described herein. This application is made in order that the applicant may secure and maintain priority for a license under the Federal Power Act while procuring data and performing the acts necessary to perfect an application for such license.

2. The name, title, and post-office address of the person to whom correspondence in regard to this application shall be addressed is as follows:

licensee under issued by

(Month, day, year)

referred to as the Transferee).

(hereinafter

(3) Hereby jointly and severally apply for the written approval by the Federal Power Commission of the transfer of the aforesaid license from the transferor to the transferee and request that the instrument of such approval by the Commission be made effective as of the date of conveyance of the project properties; and in support thereof show the Commission as follows:

(4) The said transferee is:

(a)' A citizen of the United States, whereof proof is submitted herewith as Exhibit A, which is hereby incorporated herein and made a part hereof;

19_

(Notary public)

(b) An association of citizens under articles of association, a certified copy of which as now in effect is attached hereto as exhibit A and hereby incorporated herein and made a part hereof;

(c) A municipality organized under the following statutes:

proof of such organization being submitted herewith as exhibits A-1, A-2, etc., which is

In par. 4 include only the subparagraph which is applicable.