2017-07-25_REVISION - M2010048

• Permit No: M2010048
• IBM Index Class Name: Revision
• Doc Date: 7/25/2017
• Doc Name: Request For Surety Release
• From: DRMS
• To: various
• Type & Sequence: SL1
• Email Name: TC1
• Media Type: D
• Archive: No

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10. Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM):
Latitude/Lonaitude:
Example: (N) 390 44' 12.98„
(W) 1040 59' 3.87"
Latitude (N): deg -a __ min 0— see-.) 9 (2 decimal places)
Longitude (W): deg 10 3' min 20 sec _L5_. 0 7 (2 decimal places)
OR
Example: (N) 39.736910
(W) -104.98449-
Latitude (N) (5 decimal places)
Longitude(W) (5 decimal places)
OR
Universal Tranverse Mercator (UTM)
Example: 201336.3 E NAD27 Zone 13
4398351.2 N
UTM Datum (specify NAD27, NAD83 or WGS 84) Nad 83
Easting
Northing
12
Zone
l 1 _
Primary Future(Post-mining) Land Use check only ane :
❑ Cropland(CR) E Pastureiand(PL) Q General Agriculture(GA)
❑ Rangeland(RL) ❑ Forestry(FR) ❑ Wildlife Habitat(WL)
0 Residential(RS) ❑ Recreation(RC) El Industrial/Commercial(1C)
© Developed Water Resources(WR) El Solid Waste Disposal(WD)
i2. Primary Present Land Use check only one):
❑ Cropland(CR) Pastureland(PL) General Agriculture(GA)
❑ Rangeland(RL) Forestry(FR) ❑ Wildlife Habitat(WL)
13 Residential(RS) _n Recreation(RC)
❑ Developed Water Resources(WR)
13. Estimated Be innin Date of Contract:
fj Industrial/Commercial(1C)
0 Mining(MN)
July 1 2010
l ,.l Estimated completion date of contract. .fit- rt . 2rLl