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CheIs ist for applications (new fo� 111 111111 9 IIIIIIIII <br />99 <br />ITEM DATE INITIAL <br />1. Names and addresses? Q /aLa <br />2. Legal description (draw diagram and compare to <br />submitted maps to check accuracy) (o <br />3. Compare the number of of €ected acres to insure the <br />area of the legal description equals or exceeds the <br />nmmber of acres to be affected during the permit <br />4. Surface owners: (should, sho d not) be contacted 'tQ <br />5. Mineral owners: (should, ould no be contacted <br />6. Insure document giving legal right is included. <br />a. signed by all parties? Yew /2 to <br />b. any reclamation requirem nts? N O �2 p �y <br />7. Check ou an other permits. i4 rpcY C lair., ,� (. 1e j )eL — / f LU_ <br />�l ew e� to <br />8. D e the �deaile ~ c�escr ° oh of th e`m6thod of St p4 �y n^/ <br />oepration comply with guidelines? �te-5 <br />9. Does the area to be worked at any one time comply with <br />guidelines? <br />10. Does the timetable correspond to detailed description —T <br />and areas to be worked at apy one time? 7 eS �Z O <br />11. Do the wildlife and aquatic resources narratives <br />follow the guideline requirements? <br />12. Does (Is) the reclamation plan narrative: <br />a. generally understandable without the maps? <br />b. make reference to maps? <br />c. comply with guidelines? <br />d. comply with the existing reclamation standards? <br />13. Map <br />checks: (for office and field) <br />a. <br />name of map maker? <br />_rZ�_ <br />b, <br />scale and contour interval appropriate? rCj <br />_ <br />c, <br />legal description units indicated and the <br />boundaries of such units? <br />z e <br />d. <br />all adjacent deep mining? yeS <br />zo <br />e. <br />all adjacent surface owners ? - /C;j <br />f. <br />lakes, ponds, creeks, roads, buildings, oil and <br />gas wells and lines, power and commun. lines <br />on land and within 200 feet of boundaries Ye%; <br />6 zo <br />g. <br />area to be mined? <br />1 0 <br />h. <br />area of land affected (including stockpiles, <br />access roads, etc.) 7 <br />i. <br />Does the soils map meet guidelines? P %c3 <br />J. <br />Does the vegetation map meet guidelines? <br />k. <br />Is overburden and deposit defined adequately?? <br />—� <br />1. <br />Is the expected appearance adequately portrayed <br />also Topo. Go`.te�wS " Eter <br />O % perm* <br />14. Is <br />fee adequate and correct? <br />3� <br />15. Has the local government been queried as to zoneing ?e'o ,SS <br />a. were the operators indications correct? <br />b. does the local government require reclamation? N p Q <br />16. Is there a performance bond required by local gvt ?qp <br />a. I1 so, how much and what does it cover? <br />17. If there are any deficiencies or omissions of material <br />the operator should be informed of such as soon as <br />possible and in writing. Include explanations. <br />