PERMFILE62188

• Permit No: C1989074
• IBM Index Class Name: Permit File
• Doc Date: 6/14/2000
• Section_Exhibit Name: APPLICATION FORM
• Media Type: D
• Archive: No

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APPLICATION REQUIREMENTS
Type or clearly print the appropriate original or revised page numberlsl of the permit application in
the spaces below. Where a map has been used to supplement or clarify the narrative, indicate in
the space provided where the appropriate maplsl may be found in the application. The asterisk (")
denotes sections where maps are required.
Each application for permit renewal must provide appropriate information which minimally addresses
each of the following requirements. The narrative should describe the conditions which have been
encountered during the previous permit term, and analyze how those conditions compare with those
anticipated in the original permit application. These narratives should be submitted as revised
pages.
In cases where any item is not applicable, the applicant should so specify.
Location in A placation
INFORMATION CATEGORY NARRATIVE MAPS
~A6E 1
2.03.41dentification of Interests ,Q ~, 06 00
2.03.5Com liance Information
2.03.6Ri hts of Entr and Operation Information
2.03.7 Relationship to Areas Designated Unsuitable
for Minin
2.03.BPermit Term Information
2.03.9 Personal Injury and Property Damage
Information
2.08.56ondin Information
2.03.10 Identification of Other Licenses and Permits
~P6[ L
2.03.12 Newspaper Advertisement (Submit a copy of
the ro osed news a er advertisement) (Zee. oaf o0
2.04.3 Site Description and Land Use Information 'Land Use
2.041211a1
2.04.4Cultural and Historic Resource Information
2.04.5 General Description of Hydrology and Geology 'Geology, surface
and ground water
systems of the
permit, adjacent
and general area
2.04.5(11
2.04.6Geology Description 'Geology of the
permit area
2.04.6(111a1 or