PERMFILE67350

• Permit No: M1980110
• IBM Index Class Name: Permit File
• Doc Date: 7/28/1981
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

sic ?r- ~pD'ICati ~~~ i_~r _~_
"-,. The lands herein do r.ot affect any of T
*_;:e lands descriSed in 5ecticn llj(L~)(f)1
of Lhe ~yined Land Reclamation ::c*_.
(5c?ci=•~ e=fir ...Icn)
proposed mining operation is not
ated on lands affected by sec. 115(4)(f;
!+APS _;(4131'5
'pith each of the fi`ie (~) copies of t:~e aDDlicaticn form, LSe aoelicant must sub,~it
a corresponding set of the maps and exhibits outlined in RULE 2, as fcallows:
1. EXH131T ~ - L_aai description
Z. E:iH 131 T 3 - Ind e:C T.2p
3. E;(H131T C - Pre-mining b mining plan map(s) of affected lands
4. EXH131T D - `!ir,ing plan
5. c:(H131T E - Reclamation plan
6. E:(H131T - Reclamation plan rap
7. cXH131T G - uat?r information
3, c:(4131T H - 'dildlife information ,
9 E;CHIEIT l - Soils information
10. EXH131T J - Vecetation information
1',. EXH131T K - Climate
12. EXH131T L - Reclamation Costs
NE: Concernine_ the next three EXa191T5 .M, N, 0: please rota tiat the
_ July 1978 edition of the Rules and 3ecula:ion; cmiLS these ~::HI?ITS.
_ This 'Nas net a deletion 6y Ltie Mined Land ?eclamaticn Eoard; tie
_ aata raGUir?d from Ch2s2 EXH131T5 'Nas ~rerely tran5`err=? to a ,~e•.4
sa_tion i^ the Reaulaticns ~RULc "
~. - 9, p. 40). Subsequent issues or the
Reculaticns will reflect the emission of proper cross-referencine in
_ t^IS r=_card. ?lease include, in your permit apDiiCatlO.'7, CnHi31i5
M, ^i, 0, as required by RULE 9.1(1), (2) and (j).
1?. EXHIEIT H - Local coverncent approval ) See RUL°_ 9.!(1)
1}. EXHi91T 4 - Other permits ar licenses ) See RULE 9.i(?)
15. "cXH131T C - Source of legal right to enter } See RULE 9.1(j)
15. EXH131T ? - Owners of record of surface and subsurface richts.
NCTICE ?ROCcDURES
-.f tar the apDlicaLion is considered "filmed" (pursuant to RULE 1.1(10) ~,4ith t`e
`lined Land Reclamation Division, notice procedures outlined in RULE 2 ? .must be
fpiiCWed. (~ormat rJr SUCn nCtICeS 'Nl)t be included in the letter `/OU r=C_i`/e `rem
tme SLR 5taf~ infermina you cf Cie comelsteness ("filing") of your apoiicatian.
p001TI0uAL IVFORNAT10u
This space can be referenced far further information of any of the items in this fora.
To the best or my Icncwledge, all the information r ente' in t acplication is
true and correct.
TITLE /f'~.4r
(5ign.ature by individual legally authcri_ed :o rind
the operator bo this acciicat :,n .)