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', ~~III~I~~I~~II~~I~I -_ <br />DIVISION OF MINED LAND RECLAMATION <br />~~~~~~~ <br />A'J G ]. 3 1982 <br />SMALL OPERATOR APPLICATIGN FUR ASSISTANC^ENED LA0.'p RECLA/~DAA,TION <br />(`r'!`, n2fi~. Grh'~tii~21 f?CSOCfCCS <br />DATE: ~U1_/~.~-L <br />A. Administrative information: _ _.r.:__. <br />1. Name of Applicant: <br />wtii mine coa <br />2. Name of Operation: TWl~1/fri/.ES %(/D.~_ /I/JI~yF_ <br />spit; mtne or stte name, <br />3. Authorized Representative:- L,q~,yp~~y~r~{~jy~- <br />Title: vV/.~~atsiyEE/2 __ <br />4. Mailing Address: /~~,~ac 7'~9 <br />c;ty ~i/O~+r~'irY State !o- zip l~,/2/2 <br />5. Phone Number s~~ ~!f-~~,/ ~ ,~Q,~~Z-(Q~~ <br />6. Proposed mine location: <br />a. County: F~(rI~iYJO/VT <br />b. Latitude: 3g°2D'7B`P <br />c. Longitude: °//'?,~" <br />7. Acres in permit area: l~`r,Y-' <br />8. Is applicant currently mining ender a iJivision of Mined Land Reclamation <br />Permit? ' <br />-Yes Permit Number: <br />No <br />9. MSHA Number ,N~A,ft.SYG.VE'O <br />10. Anticipated starting date of operation: FF~4.PU,OIlY /9~ <br />Anticipated termination date: aQQ3 <br />11. Check type of organization: <br />Individual Partnership ~ Corporation <br />• If corporation, list state(s) in which incorporated: L'OID,~gL~ <br />