CONTINUED FROM THE FRONT VII. SIC CODES (4-digit, in order of non A. FIRST B. SECOND t N/A (sPecr 49 7 N/A (way) 7 7 13 1 IB 17 15 16 19 C. THIRD D. FOURTH c N/A Wear) 7 N/A (2PecifY) 7 is 16 17 15 16 19 VIII. OPERATOR INFORMATION A. NAME B. Is the name listed in Item C Arran McGinnis VIII-A also the owner? 8 K YES 123 NO IS 19 65 C. STATUS OF OPERATOR (Enter the appropriate letter into the answer box; al 'Other, specify.) D. PHONE area code & no.) F= FEDERAL M= PUBLIC (other than federal a state) I p I (specify) S • STATE O = OTHER (specify) c 340 1690 1 1487 P • PRIVATE fl 16 16 IS 19 21 12 ZS E. STREET OR PO BOX 6100 Red Hook Quarters B-3 26 55 F. CITY OR TOWN G. STATE H. ZIP CODE IX. INDIAN LAND c St. Thomas VI 00802 Is the facility loca ed on Indian lands? B K YES 8 NO 15 16 40 42 42 47 51 X. EXISTING ENVIRONMENTAL PERMITS A. NPDES (Discharges to Surface Wafer) D. PSDemir Emissions from Proposed Sources) C 7 I N /A 9 N 9 P It5 16 57 15 18 17 l 18 30 B. UIC (Underground Injection of Fluids E. OTHER (specify) (Specify) C T I N/A G T s 9 U 9 15 03 17 IS 30 15 18 I? 18 30 C. RCRA (Hazardous Wastes) E. OTHER (specW) (Specify) T I N/A c 9 R 9 15 16 17 18 30 15 18 12 18 30 XI. MAP Attach to this application a topographic map of the area extending to at least one mile beyond properly show the outline of the facility, the location of each of its existing and proposed intake and discharge hazardous waste treatment, storage, or disposal facilities, and each well where it injects fluids underground. boundaries. The map must structures, each of its Include all springs, rivers and other surface water bodies in the map area. See instructions for ,recise re. uirements. XII. NATURE OF BUSINESS (provide a brief description) Private Residence, Domestic Use, Irrigation use. XIII. CERTIFICATION (see instructions) I certify under penally o