PERMFILE59877

• Permit No: M1994117
• IBM Index Class Name: Permit File
• Doc Name: LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION PACKAGE
• Media Type: D
• Archive: No

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PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: 3: -
Company Name : C. /1. SA/C .
Street: yjySlSg(,~,~/ide~i4~N
city: B~~
Title: ( E~.t!. L~._
State: LO Zip Code: '~O ~JJ _
Area Code: ~i_ Telephone:

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INSPHCTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Area Code: ~}~j4 Telephone: -
Agency:
Street:
City:
State:
Area Code:
Agency:
Street:
City:
State:
Area Code:
Telephone:
Zip Code:
Telephone:
Zip Code:
11. Primary uture (Post-mining) land uee (check one):
_ Crop and(CR) ~astureland(PL) _ General Agriculture(GA)
_ Rangeland(RL) orestry(FR) _ Wildlife Habitat(WL)
Residential(RS) _ Recreation(RC) Industrial/Commercial(IC)
_ Developed Water Reeourcee(WR) = Solid Waste Dieposal(WD)
12. Primary re~~ent land uee (check one):
~ _ Cropland(CR) Paetureland(PL) _ General Agriculture(GA)
_ Rangeland(RL) ~(Poreetrx(FR) _ Wildlife Habitat(WL)
Reeidential(RS) _ Re creation(RC) Industrial/Commercial(ZC)
_ Developed water Resources(WR) _ Mining(MN)
13. If this operation will use designated chemicals, or sill result, or presently has
acid mine drainage - you cannot use this application form. You must submit a either
a 110d or 112d application form for Designated Mining Operations. In either case,
you moat list any acidic or toxic-forming materials, exposed or disturbed se a
result of the mining operation, and rhether the operation rill result in or
presently has acid mine drainage: ~/~
~ Descriotion of Conversion:
I~ you nre converting an existing operation, pzovide a brief narrative describing the
proposed change(s).
MaDB ~ 8xhibits:
Suomi t tro (2) complete, unbound copies of the folloring application exhibits:
6.3.1 87OiIBIT A - Legal Description and Location Map
i 6.3.2 EXHIBIT 8 - Site Description
6.3.3 EXHIBIT C - Mining Plan .
6.3.4 BRHIHIT D - Reclamation Plm
6.3.5 EXHIBIT 8 - Mape
6.3.6 IDG[IBIT P - List of Other Pezmits and Licenses Required
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