2015-12-08_REVISION - M1979059

• Permit No: M1979059
• IBM Index Class Name: REVISION
• Doc Date: 12/8/2015
• Doc Name: Application AM03
• From: DRMS
• To: Coulson Excavating Company, Inc.
• Type & Sequence: AM3
• Email Name: MAC
• Media Type: D
• Archive: No

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12. Primary future (Post -mining) land use (check one):
II Cropland(CR) L Pastureland(PL)
Rangeland(RL) Forestry(FR)
LResidential(RS) L Recreation(RC)
jiDeveloped Water Resources(WR)
13. Primary present land use (check metel:
Cropland(CR)
Rangeland(RL)
Residential(RS)
Pastureland(PL)
Forestry(FR)
Recreation(RC)
Developed Water Resources(WR)
T1General Agriculture(GA)
Wildlife Habitat(WL)
Industrial/Commeicial(IC)
Solid Waste Disposal(WD)
14. Method of Mining: Briefly explain mining method (e.e. truck/shovel):
Mining has been completed
General Agriculture(GA)
Wildlife Habitat(WL)
Industrial/Commercial(1C)
15. On Site Processing: [111Gushing/Screening
13.1 Briefly explain mining method (e.e. truck/shovel):
List any designated chemicals or acid -producing materials to be used or stored within permit area:
16. Description ofAmendment or Conversion:
If you are amending or converting an existing operation; provide a brief narrative describing the proposed change(s).
The Amendment application revises the post mining land use to Developed Water Resource and
updates the reclamation plan to include a residential structure and clay lined ponds.