2021-07-16_PERMIT FILE - M2021048

• Permit No: M2021048
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/16/2021
• Doc Name: Application
• From: Zak Dirt, Inc.
• To: DRMS
• Email Name: ERR
• Email Name: JDM
• Email Name: JXT
• Media Type: D
• Archive: No

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10. Primary Mine Entrance Location(report in either Latitude/Longitude OR UTM):
Latitude/Longitude:
Example: (N) 390 44' 12.98"
(W) 104° 59' 3.87"
Latitude(N): deg Sq min O`I sec 19 (2 decimal places)
Longitude(W): deg 10 6 min 5 8 sec V0. (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 Zone 2
Easting
Northing
i t. Primary Future(Post-mining)Land Use(check only one):
El C,ropland(CR) Q Pastureland(PL) 0 General Agriculture(GA)
Rangeland(RL) El Forestry(FR) 0 Wildlife Habitat(WL)
C3'--- Residential(RS) 0 Recreation(RC) 0 Industrial/Commercial(IC)
❑ Developed Water Resources(WR) ❑ Solid Waste Disposal(WD)
12. Primary Present Land Use(check only one):
w1:1opland(CR) ❑ Pastureland(PL) El General Agriculture(GA)
C
Rangeland(RL) 0 Forestry(FR) ❑ Wildlife Habitat(WL)
Residential(RS) rl Recreation(RC) rl Industrial/Commercial(IC)
Developed Water Resources(WR) Mining(MN)
13. Estimated Beginning Date of Contract:
13.1 Estimated completion date of contract: