PERMFILE63795

• Permit No: M1978007
• IBM Index Class Name: Permit File
• Doc Date: 2/27/1978
• Doc Name: BARNES PIT 1 ROUTT CNTY 78-6 BIG BURN PIT 17 ROUTT CNTY 78-7
• From: MLR
• To: MOFFAT CNTY ROAD DEPT
• Media Type: D
• Archive: No

4/77
MINED LAAID RECLAMATIOt7
LIMITED It(PACT AND SPECIAL 10-DAY PERMIT APPLICATION CHECKLIST
File No. ~_ Name MoFf[1t I.~lr~- Date of Filing (Completeness):
ITEPI COMPLETE ADEQUATE COMME:TIS
Application Form
1. Name of operation
/
~.,~ yZt
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2. Name of applicant/operator ~/
3. Address ~ phone (local offices) ~
4. Address S phone (general offices) v
5. Person to contact J
5. Surface owners ~/
7. ,fineral owners ~
8. Type of mine/substance /
9. General location 5 elevation v
10. County
11. Acreage ~
12. Fee ~ 12rj.(~
13. Present land use ~/
14. Proposed future use ~
15. Signature
Maps and Exhibits
1. Exhibit A - Legal description
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2. Exhibit B - :fining plan ,J
3. Exhibit C - Map ~/ ~ ~1(0I'~
4. Exhibit D - Wildlife, Water Resources,
Vegetation and Soils infor-
mation ND V1(d~PX'
5. Exhibit E - Reclamation plan /