PERMFILE56165

• Permit No: M1981154
• IBM Index Class Name: Permit File
• Doc Date: 9/3/1981
• Doc Name: APPLICATION CHECKLIST
• Media Type: D
• Archive: No

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LIMITED InPaCT (110) ~„
SPACIAL 10-DAY (III) _
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Nan£ Sc.ti M~~~<I ce.,-~- ~'~ ~,ts FrLE s$~,15~
CDP!P! ~ ~ E (FILED) DATE Sept, 3~ S 8/ _
COMP!_°TE ADEQUATE COnnE'ITS
Aoolicatian form:
1. dame of oceration
11
2. Yame of applicant/opera to r•
3. Address E phone, local I
4. Address S phone, general I I
5. Person to contact ~\ I ~•G
6. Surface owners
7. nineral owners
8. Source of legal right-to-enter x
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3. Type of mine/substance I I I
10. General location S elevation
11. Coun:/ I
12. Acreage I x ~ I
13. Fee ~ ~ f -
14. Present land use ~ I
f
IS• Proposed future use `~
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~ 4~cir-a-• r~M~ )~-~ „sus
16. Signature
yaps and Exhibits

EXHIBIT a - Legal Description _
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EXH191T B - Mining Plan
EXH191T C - Hap
EXH IoI T D - tJi 1dlAfe, 'pater R~sources,

legetation, Soils Information \ /
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