DOCKET PL XX-XXX CNG

STATE OF LOUISIANA

DEPARTMENT OF NATURAL RESOURCES

OFFICE OF CONSERVATION

(COMPANY NAME)

Application for an Order Authorizing the

Construction or Certification of Existing Facilities

a Compressed Natural Gas (CNG) Facility

Promulgated in Accordance with R.S. 30:731 and 732

TABLE OF CONTENTS

Page

INFORMATION CONCERNING APPLICANT ………………………………….…………. X

COMMUNICATIONS AND CORRESPONDENCE ..……………………………………….. X

NATURE OF SERVICE RENDERED BY APPLICATION AND OPERATIONS ..…….….. X

DESCRIPTION OF PROPOSED FACILITIES..……………..………………………………. X

TABLE OF EXHIBITS …………………………………………………………………...…… X

EXHIBITS

Certificate of Good Standing and Authorization to do business from the Secretary of State of Louisiana (if a corporation) ……………………………………………………………. Exhibit A

Form CNG-100 ………………………………………………………………………… Exhibit B

Schematics/Plan Set ……………………………………………………..……………... Exhibit C

STATE OF LOUISIANA

OFFICE OF CONSERVATION

(COMPANY NAME)

Application for an Order Authorizing the

Construction or Certification of Existing Facilities

a Compressed Natural Gas (CNG) Facility

(Company Name) is applying to the Office of Conservation for the issuance of an Order by the Commissioner of Conservation to authorize the construction of new CNG facilities or certification of existing CNG facilities as Promulgated in Accordance with R.S. 30:731 and 732 and outlined in LAC 43:XI.2513. In support of its application, and in compliance with the Rules of Procedure and Regulations of the Commissioner of Conservation, Applicant furnishes the following information:

I.

INFORMATION CONCERNING APPLICANT

In this section, the applicant shall provide: the exact legal name of the applicant; its principal place of business; the state under the laws of which applicantwas organized or authorized; the location and mailingaddress of applicant's registered office, the name and postoffice address of each registered agent in Louisiana, and thename and address of all its directors and principal offices

II.

COMMUNICATIONS AND CORRESPONDENCE

Correspondence and communications in this proceeding may be addressed to:

In this section, the applicant shall provide the contact information of the person responsible for preparing this document.

III.

NATURE OF SERVICE RENDERED BY APPLICANT AND OPERATIONS

In this section, the applicant shall provide a description of services currently rendered by the applicant. This shall includethe nature of service to be rendered by applicant,sale to public, applicant's fleet, private fleet, and/or publictransportation, andif any, location of applicant's existing CNG facilities.

IV.

DESCRIPTION OF PROPOSED FACILITIES

In this section, the applicant shall provide a description of the proposed CNG Facility. Make sure this includes the official address, site conditions, design capacities, equipment lists, points of connection between compressor(s) and dispensing units, and a listing of the applicant’s gas supply for compression at the point the gas enters the service facility for ultimate compression.

V.

TABLE OF EXHIBITS

The following exhibits are attached to and made a part of this Application:

Exhibit ACertificate of Good Standing from the Secretary of State

Exhibit BForm CNG-100

Exhibit CSchematics/Plan Set