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7/7' / '• <br />LIMITED InPaCT (110) v <br />SPECIAL 10-DAY (Ill) _ <br />------------------------------- <br />I T E"1 <br />aPPLIC+:T!0:1 C:icC:<LIiT <br />7- ,~ a = ~~ <br />NAME FILE _ <br />------------COMP! ETE--FILED)-DATc~,n~s1 .7$, / 9f3'/ <br />COMPLETE AOE^,,UATE COMME4T5 <br />aoolication Fore: <br />I. `Jame of operation <br />~ <br />2. Mame of applicant/operator ( ~ <br />3. ,4ddress E phone, local <br />4. address 8 phone, general <br />5. Person to contact <br />6. Surface owners <br />f <br />7. Mineral owners i <br />I <br />S. Source of legal right-to-enter I I - <br />9. Type of mine/substance <br />10. General lacatien r; elevation ' <br />11. County <br />1?. acreage <br />13. Fee <br />14. Present land use <br />15. Proposed future use <br />i <br />16. Signature <br />,Maps and Exhibits <br />EXH181T A - Legal Description _ <br />EXHIBIT fi - Mining Plan ,- / <br />EXH191T C - Map <br />E:<H 'o IT D - 'Ji ldl i fe, `mater Resources, <br />Vegetation, Soils Information <br />