PERMFILE58083

• Permit No: M1995017
• IBM Index Class Name: Permit File
• Doc Date: 3/2/1995
• Doc Name: LEE ROY & MARLENE ROTHE ROTHE GRAVEL PIT LIMITED IMPACT OPERATIONS 110
• Media Type: D
• Archive: No

-a-
PERMITTING CONTACT (if different from applicant/operator above)
individual's Name: - Title:
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPHCTION CONTACT Same as Applicant/Operator
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATH OR FHDHRAL LANDOWNHR (if env)
Agency:
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FBDHRAL LANDOWNHR (if env)
Agency:
Street:
City:
State: Zip Code:
Area Code: Telephone:
11. Primary future (Poet-mining) land use (check one);
_ C- ropfand(CR) Pastureland(PL) General Agriculture(GA)
~ Ranyeland(RL) _ Forestrx (PR) _ Wildlife Habltat(WL)
Reeidential(RS) _ Recreation(RC) industrial/CCamiercial(IC)
_ Developed Water Resourcee(WR) _ Solid Waste Disposal(WD)
12. Primary present land use (check one):
~ Cropland(CR) _ PasturelandlPL) _ General Agriculture(GA)
_ Ranyeland(RI,) _ Foreetr~(FR) _ Wildlife Habitat(WL)
Resideatial(RS) Recreatian(RC) Industrial/Commercial(IC)
_ Developed Water Resources(WR) _ Mining(MN)
13. If this operation will use designated chemicals, or rill result, or presently has
acid mine drainage - you canno use this application form. You must submit a either
a 110d or 112d application form for Designated Mining Operations. in either case,
you must list acry acidic or toxic-forming materials, exposed or disturbed ae a
result of the mining operation, and rhether the operation rill result in or
presently has acid mine drainage:
Description of Conversiaa:
If you are converting as existing operation, provide a brief narrative describing the
proposed change(s).
Ma s~6 Hxhibits:
Submi t tro (2) complete, unboand copies of the folloriag application exhibits:
6.3.1 88HIBIT A - Legal Description and Location Map
6.3.2 HRIiIBIT B - Site Description
6.3.3 88HIBIT C - Mining Plan
6.3.4 EXHIBIT D - Reclamation Plan
6.3.5 HXtiIBIT H - Maps
6.3.6 HXHIBIT F - Liet of Other Permits sad Licensee Required