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Permit Number * <br />Enter valid letter and then numbers, for example M1977999, M1999777UG or C1981201. <br />M1990057 <br />Permitting Action Type <br />Select revision type or leave blank if comment pertains to a new permit application or NOI <br />Permit Type <br />Conversion to 112(d)-1 (Complex) <br />County <br />Lake <br />Enter one county only <br />Site Name <br />Perm ittee/ Operator Name <br />ADDITIONAL INFORMATION <br />Are there supporting photos, maps, or documents you wish to upload? * <br />• Yes No <br />Upload Supporting Documents <br />Maximum of 5 files can be uploaded and each file size must be 10mb and under. PDF, JPG, and PNG formats only. <br />Specific Permit Application Issues — Permit M1990-057.pdf 106.91 KB <br />By submitting this form electronically you agree to receive any/all follow up correspondence from the Division of <br />Reclamation, Mining, and Safety at the email address you have provided. <br />