Laserfiche WebLink
d+/'77 ~ MINED LAND RECLAPIATIOCI . III IIIIIIIIIIIIIIII . <br />9s9 <br />Regular (112) Permit Application Checklist <br />File clo. 77-9K Name /Vlovgtw- ~ cL ~y...,k,r~~te of Filing (Completeness): <br />ITEif COMPLETE ADEQUATE COMMENTS <br />Application Form <br />/ <br />1. name of operation ~~ <br />2. ;lame of applicant <br />3. Address 6 phone (local offices) <br />4. Address & phone (gen'1. offices) I r' <br /> ~ <br />5. Person to contact <br />_ i <br />6. Parent corporation (if any) <br />L~ <br />7. Surface o~,rters I ~ ~ N22d ~ea5+z <br />fi . Afineral owners / A/ ~~~ ~ ~'cS ~- <br />9. Type of mine/substance ~/ / <br />0. General location & elevation i ~ ! N eP ,~ .e (Q~w-E.-; o <br /> <br />1. County ~ I -~ ^ <br />2 <br />Acrea <br />e <br />. <br />g <br /> <br />3 <br />Fee rc~ i 5 <<1 v o <br />. i ~~tb b~ F <br />~v l...~ti1L <br />4. Present land use ~ r <br /> <br />.5. Surrounding land uses i I N ~ ~ emu,.-.-- <~, <br />i <br />~ <br />„a (L,L,SeS ~ <br /> , <br />,~ <br />.6. Proposed future use ~ /' <br />// i <br />.7. Other mining permits <br />8. Signature Need 5' c~l'"`~~ '~' <br />9. Prohibited Laads Statement <br />*fzps 6 Exhibits ~ /~ <br />1. Legal description /~ <br /> <br />2. Index map <br /> ~ ~~ ~ V~ ~~~, <br />3. Pre-mining 6 mining plan map <br /> YVP~.s~ etw~a~e <br />4. Ptining plan - a) timetable _ ~ <br />- b) depth & thickness of ore ~ i d~I2~~ a e~p~ ~ <br /> ~ -.~ "i <br />r. <br />~.. <br />r <br />~, <br />,,,,may •,...~-.-~ .~ , ~ . <br />