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• <br />-s- <br />10. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: Rnh Rahal <br />Company Name: Fichar Sanri R [;ravel f.n_ <br />Street: PO Box 1094 <br />City: Dickinson. <br />State: North Dakota zip Code: 58602 <br />Area Code: X01 Telephone: 225-9184 <br />PHRMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: same <br />Company Name <br />Street: <br />City: <br />State: Zip Cade: <br />Area Code: Telephone: <br />INSPECTION CONTACT <br />Individual's Name: same <br />Company Name <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />CC: STATH OR FHDHRAL LANDOWNER (if anv) <br />Ageacy: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />CC: STATE OR FEDERAL LANDOWNER (if anv) <br />Agency: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />11. Primary future (Post-mining) land use (check one): <br />Cropfand(CR) ~ Pastureland(PL) _ General Agriculture(GA) <br />_ Rangeland (RL) _ Forestry (FR) _ Wildlife Habitat (WL) <br />Residential (RS) Recreation (RC) Industrial/Covmiercial (IC) <br />_ Developed water Reaources(WR) _ Solid Waste Dieposal(WD) <br />12. Primary resent land use (check one): <br />Cropland(CR) yx Pastureland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry (FR) _ Wildlife Habitat (WL) <br />Residential(RS) _ Recreation(RC) _ Industrial/Commercial(IC) <br />_ Developed Water Resources (WR) <br />13. Method of Mining: _ Quarry (QR) _ Solution (SO) <br />13.1 they: Briefly explain mining method (e.g. Placer, truck/shovel). <br />Srrar~r rm fl-nar to ctriD nit aryl faF+ri th= ln?nt fat' (~rrYpc¢irxi than c_tnck in'lim <br />14. On Site Processing: Solution (SO) Chemical (CH) _ Thermal (TH) <br />Heap Leach (HL) - Vat Leach (VL) <br />n/a <br />List any designated chemicals or acid-producing materials to be used or stored within permit <br />area: nnno <br />