Form PS-79 "Application for a Permit to Construct a Sour Gas Pipeline Facility" - Texas

What Is Form PS-79?

This is a legal form that was released by the Railroad Commission of Texas - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 1998;
  • The latest edition provided by the Railroad Commission of Texas;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PS-79 by clicking the link below or browse more documents and templates provided by the Railroad Commission of Texas.

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Download Form PS-79 "Application for a Permit to Construct a Sour Gas Pipeline Facility" - Texas

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Application for a Permit to Construct a Sour Gas Pipeline Facility
(See Tx. Civ. Stat. Article 6053-4 and 16 TAC 3.65)
RAILROAD COMMISSION OF TEXAS
FORM PS-79
(Rev. 3/98)
Organization Information
Address
1.
Operator (Applicant)
P 5 #_______________
2.
Address
To whom should the Commission direct inquires regarding this
application?
Phone:(A/C)
e-mail Address:
3.
Does the above named operator own the pipeline?
Yes
No
If “No”, give name and address of owner.
4.
Identification of facility to be permitted
General Information
1.
Is any of the pipeline being constructed on new right-of way?
Yes
No
2.
Is the pipeline replacing an existing pipeline in the same right-of-way?
Yes
No
3.
Is any of the right-of-way being obtained by condemnation?
Yes
No
4.
Is the proposed pipeline an extension to an existing sour gas pipeline facility
Yes
No
T-4 Permit # __________________(if applicable)
5.
Was the existing sour gas pipeline facility constructed before 6-16-97?
Yes
No
N/A
6.
Is the extension longer than 5 miles?
Yes
No
N/A
Is the diameter of the extension larger than 6 inches?
Yes
No
7.
Is the application for a new or an extension of a low-pressure gathering system?
Yes
No ( i.e. , operates at less than 50 psig)
8.
Is a U.S.G.S. 7.5 minute quadrangle map which identifies pipeline location, Radius of Exposure, property boundaries, and buildings and areas
intended for human occupancy within the radius of exposure attached?
Yes
No
9.
Is a copy of the H-9 application form attached?
Yes
No
10.
Maximum operating pressure? _________________
Nominal diameter?___________________
Length?
_______________________
I declare, under penalties prescribed in Sec.91.143, Texas Natural Resources Code, that I am authorized to make this report, that this report was
prepared by me or under my supervision and direction, and that data and facts stated herein are true, correct and complete, to the best of my
knowledge.
(Type or Print Name of Person)
(Date)
(Title)
(Original Signature in Ink)
The Railroad Commission does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the
provision of services. TDD/TDY (512) 463-7284
Clear Form
Application for a Permit to Construct a Sour Gas Pipeline Facility
(See Tx. Civ. Stat. Article 6053-4 and 16 TAC 3.65)
RAILROAD COMMISSION OF TEXAS
FORM PS-79
(Rev. 3/98)
Organization Information
Address
1.
Operator (Applicant)
P 5 #_______________
2.
Address
To whom should the Commission direct inquires regarding this
application?
Phone:(A/C)
e-mail Address:
3.
Does the above named operator own the pipeline?
Yes
No
If “No”, give name and address of owner.
4.
Identification of facility to be permitted
General Information
1.
Is any of the pipeline being constructed on new right-of way?
Yes
No
2.
Is the pipeline replacing an existing pipeline in the same right-of-way?
Yes
No
3.
Is any of the right-of-way being obtained by condemnation?
Yes
No
4.
Is the proposed pipeline an extension to an existing sour gas pipeline facility
Yes
No
T-4 Permit # __________________(if applicable)
5.
Was the existing sour gas pipeline facility constructed before 6-16-97?
Yes
No
N/A
6.
Is the extension longer than 5 miles?
Yes
No
N/A
Is the diameter of the extension larger than 6 inches?
Yes
No
7.
Is the application for a new or an extension of a low-pressure gathering system?
Yes
No ( i.e. , operates at less than 50 psig)
8.
Is a U.S.G.S. 7.5 minute quadrangle map which identifies pipeline location, Radius of Exposure, property boundaries, and buildings and areas
intended for human occupancy within the radius of exposure attached?
Yes
No
9.
Is a copy of the H-9 application form attached?
Yes
No
10.
Maximum operating pressure? _________________
Nominal diameter?___________________
Length?
_______________________
I declare, under penalties prescribed in Sec.91.143, Texas Natural Resources Code, that I am authorized to make this report, that this report was
prepared by me or under my supervision and direction, and that data and facts stated herein are true, correct and complete, to the best of my
knowledge.
(Type or Print Name of Person)
(Date)
(Title)
(Original Signature in Ink)
The Railroad Commission does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the
provision of services. TDD/TDY (512) 463-7284
Clear Form