PERMFILE47627

• Permit No: M1977534
• IBM Index Class Name: Permit File
• Doc Date: 11/9/1977
• Doc Name: APPLICATION FOR MINING AND RECLAMATION PERMIT
• Media Type: D
• Archive: No

]12 ,Pr,rmlt AP1~lication (Con _)
MAPS & EXNIIIITS
With each of the five (5) copies of the application form, the applicant must submit a_
corresponding set of Clio maps and exhibits outlined in Rule 2, as follows:
1. 6rhibit A - Legal description
2. Exhibit B - Index map
3. Exhibit C - Pre-mining b mining plan map(s) of affected lands
4. Exhibit D - Ptining plan
5. Exhibit E - Reclamation plan
6. Exhibit F - Reclamation plan map
7. Exi~ibit G - 4.'a[er information
8. Exhibit H - Idildlife information
9. Exhibit I - Soils information
10. Exhibit J - Vegetation information
11. Exhibit K - Climate
12. Exhibit L - Reclamation Costs
13. Exhibit Ai - Local government approval
14. Exhibit N - Other permits or licenses
15. Exhibit 0 - Source of legal right to enter
16. Exhibit P - Owners of record of surface 6 subsurface rights
NOTICE PROCEDURES
After the application has been filed with the Division, notice procedures outlined in
Rule 2.2 must be followed.
ADDITIONAL INFORPfATION
This space can be referenced for further information of any of the items on this form.
To the best of my knowledge, all the information presented in this application is true and
correct.
BY:
TITLE:
(Signature by individual legally authorized
to bind the operator to this application.}