coal combustion byproducts (ccb)：煤炭燃烧的副产品（ccb）

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1、CCBPLANOhioDepartmentofNaturalResourcesDivisionofMineralResourcesManagementCCBPLANPleasereadaccompanyingGeneral,Soil,andHydrologyGuidelinesbeforecompletingthisform.A.IdentificationofApplicantNameStreetAddressMailingAddressCity,State,Zip+FourTelephoneNumberFaxNumbere-mailAddressB.Identification

2、ofApplicationPreparerNameStreetAddressMailingAddressCity,State,Zip+FourTelephoneNumberFaxNumbere-mailAddressC.TypeProposalisfor(checkallthatapply):NewPermitApplicationNewApplicationtoReviseaCoalMiningPermit(ARP).ApplicationtoReviseaCoalMiningPermit(ARP)foraPreviously-ApprovedBeneficialUseChang

3、eArealExtentChangeVolumeChangeBeneficialUse(s)Add/DeleteMaterialSource(s)ChangeinMaterialQualityduetoChangeinCombustionOperationAddLandownerOther(explain)Page13of13Revised02/06DNR-744-9047CCBPLAND.IntendedBeneficialUses1.Checkallthatapply:SoilAdditiveStructuralFillNeutralizationofCoalRefusePip

4、eBeddingAggregateNeutralizationofSpoilMineSealingLiningofPitFloorsforNeutralizationPurposesAlternativeDrainageReducePotentialforAcidMineDrainageFormationPilotDemonstrationProjectAlternativeCappingMaterialRoadConstructionSealingofToxicMaterialOther(Explain)2.Provideageneralnarrativeexplanationo

5、ftheproject.ExplainhowtheproposalmeetsthebeneficialusecriteriaofOhioRevisedCodeSection1513.02.E.GeneratingFacilityandContactPerson1.Providethefollowinginformation:NameofGenerationFacilityLocationofGenerationFacilityMunicipalityCountyState7½MinuteU.S.G.S.QuadrangleMapStatePlaneCoordinates(Cente

6、rofFacility)XYFacilityContact(NameandTitle)*StreetAddressMailingAddressCity,State,Zip+FourTelephoneNumberFaxNumbere-mailAddress*Forfacilitycontact,providethename,title,address,telephonenumber,e-mailaddressandfaxnumberofapersonemployedbythefacilitywhowillhaveoverallresponsibilityforenvironmenta

7、lmattersatthesite.Page13of13Revised02/06DNR-744-9047CCBPLANE.GeneratingFacilityandContactPerson(continued)1.MaterialGeneratedatFacilitytobeUsedBeneficially:FlyAshFluidizedBedCombustionByproductsBottomAshCoalSlagFlueGasDesulfurizationByp