PERMFILE46543

• Permit No: M1977522
• IBM Index Class Name: Permit File
• Doc Date: 10/31/1977
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

112 Permit Application (Co,Y'd.)

MAPS b E7QiCBITS
With each of the fi:vf: (5) copies of the application Form, the applicant must submit a
corresponding set of the maps and exhibits outlined in Rule 2, as follows:
1.
2.
3.
4.
5.
6.
7.
8.
4.
10.
11.
12.
13.
14.
zs.
16.
Exhibit A - Lega:L description
Exhibit B - Inde:.t map
Exhibit C - Pre-mining b mini.rg plnn map(s) of affected lands
Exhibit D
Exhibit E
Exhibit F
Exhibit G
Exhibit H
Exhibit I
Exhibit J
Exhibit K
Exhibit L
Exhibit M
Exhibit N
Exhibit 0
Exhibiit P'
htining plan
Reclamation plan
Reclamation plan map
Water information
Wildlife information
Soils information
Vegetation information
Climate
Re.cl.amation Costs
Loc~,I government approval
Other permits or licensee
Source of legal right to enter
Ownf:ra .of record of surface 6
subsurface rights.
NOTICE PROCEDURES
After the application has been filed with the Division, notice procedures outlined in
R„le 2.2 must be followed.
ADllITIONAL INFORMATION
This space can be referenced for further information of any of the items on this form.
-2-
To the best of my knowledge, all the inform,stion preeen in th plication ie true and
correct.
BY:
TITLE:
(Signature by individual legally authorized
to bind the operator to this application.)