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PERMFILE69486
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PERMFILE69486
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Entry Properties
Last modified
8/24/2016 11:14:57 PM
Creation date
11/20/2007 10:54:02 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979070
IBM Index Class Name
Permit File
Doc Date
4/21/1979
Doc Name
REGULAR 112 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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111 Permit Applic;ttiuu (Cont'd.) -2- <br />IIAI'S i. I~.rillll4l'ES <br />Wi[h each of Lhe five (5) copies of the appJ.ic•tLion Conn, tlre. applicant. nwst submit a <br />cor'respondiug set of the maps and exhibi[s outlined in Nule 2, as Follows: <br />1. Exhibit A - heral description <br />2. Exhibit K - Index map <br />3. i'.xhiblt C - Prc-m ininP. f, mining plan map(s) of afCectud lauds <br />4. Exhibit U - ilinlnp, pl:rrt <br />5. Exhibit C - I:eclamation plan <br />5. Exhibit ~ - RcclamatLon plan map <br />7. {:xh.ibit G - Ylrttcr Information <br />A. Exhihit 1I - F!ildliEe information <br />9. ExhihiC I - Soils luformaClon <br />10. }:xhibit J - Voretation information <br />11. Exktibit K - C.] imnte <br />12. ISxhibit i, - IicclamaCion Coats <br />13. 1'xhihlt ht - Local F.wcrnment approval <br />U~. h:xhibit N - Uther permits or licenses <br />15. P.xhi6 it O - Source o[ lcra7. right to cntcY <br />16. Exhibit P -Owners of record of surtace ti ;subsurface rlghts. <br />IJOTICE PRUCISlll1Rl',5 <br />After the application has bean Clled wlth the U1vislnn, notice procedures outlined iu <br />Rule 2.2 must be [ollowerl. ' <br />AUUI'fIONAI, ltf ~'OIL'Ut1'10'J <br />This space can be referenced for further information of any of the items on this form. <br />To the best of my knowledge, all the inform.itiun presented in this application is true and <br />correct. <br />1SY:--- ~~ -~ --- ~ , <br />(S)p,natnrc. by i.ndivl,lual lepp7ly au[hoclzcd <br />to bind Lhc~cpcrator Co this application.) <br />
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