2015-04-28_PERMIT FILE - M2015022

• Permit No: M2015022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/28/2015
• Doc Name: Construction Materials
• From: Lazy H Inc
• To: DRMS
• Email Name: PSH
• Email Name: WHE
• Media Type: D
• Archive: No

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10. Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM):
Latitude/Longitude:
® General Agriculture(GA)
Example: (N) 39° 44' 12.98"
® Forestry(FR)
(W) 104° 59' 3.87"
® Residential(RS)
Latitude (l): deg 39 min 59
sec 11 25 (2 decimal places)
Longitude (W): deg 104 min 37
sec 18 11 (2 decimal places)
F OR
(check only one):
® Pastureland(PL)
Example: (N) 39.73691°
t
(W) - 104.98449°
Wildlife Habitat(WL)
® Residential(RS)
n Recreation(RC)
Latitude (N)
(5 decimal places)
Longitude(W)
(5 decimal places)
OR
Universal Tranverse Mercator (UM
Example: . 201336.3 E NAD27 Zone 13
4398351.2 N
Nad 83 122
UTM Datum (specify NAD27, NAD83 or WGS
84) Zone
Easting
Northing
11. Primary Future (Post mining) Land Use (check only one):
® Cropland(CR)
® Pastureland(PL)
® General Agriculture(GA)
E] Rangeland(RL)
® Forestry(FR)
Q Wildlife Habitat(WL)
® Residential(RS)
® Recreation(RC)
® Industrial/Commercial(IC)
Q Developed Water Resburces(WR)
® Solid Waste Disposal(WD)
12. Primary Present Land Use
® Cropland(CR)
(check only one):
® Pastureland(PL)
® General Agriculture(GA)
El Rangeland(RL)
-9 Forestry(FR)
Wildlife Habitat(WL)
® Residential(RS)
n Recreation(RC)
EL Industrial /Commercial(IC)
0 Developed Water Resources(WR)
0 Mining(MN)
13. Estimated Beginning Date of Contract:
13.1 Estimated completion date of contract:
April 3, 2015
June 1, 2015