Laserfiche WebLink
SPEC. INITIALS L~~`'~~~~/~ <br />' DATE/TME [ ] /~ ~~/C <br />( ] /'I <br />Document 20g2F P 4A i B Completed After Decision 8 Issuance] Revised: AugNSt 17, 1990 <br />AMPFDEO] PERMIT DECISIOW i ISSUANCE CODING FORM <br />[H] MINE ID / OR EXPLORATION ID f... ~J~ - ~1 l - ~~~- <br />(H] PERMIT DECISION DATE.... -/ / p [H] PERH~IlT RECISION TYPE... <br />[NOTE: Required for HIn~r6'~s fl~(esrtafter F(~5-001.] [CC-PD: AA-Automatically Approved <br />AL•Approved With Conditions, <br />AP=Approved, DN=Denied] <br />ORIGINAL AREAS (IN ACRES) <br />XXXXXXXXX XXXX.... [H] MAXIHIIH ALLOWABLE DISTURBED AREA... <br />XXXX XX XXXX XXXX., [H] AFFECTED AREA. [H] PEgHIT AREA.. <br />xI(xxXXX XXXX XXXX. XXXXX XXXX XXXX.. XXXXXXX XXXX XXXX. <br />SURETY (FINANCIAL WARRANTY) INFORMATION <br />[H] ORIGINAL SURETY AHOUNT.....5 _ _ _ , _ _ _ _ _ _ _ _ BOND TYPE ... CS <br />[FI] SURETY HEHO OF UNDERSTANDING,.. OONDING COMPANY ~ I ~~ (~ E IZ t~~~ ~, ~}~-L_ 1 ~S- <br />[CL-AG: NO=None, BL• US BLM, CL•Lolo Land Board, [~D spaces - llbbrev~fate M enever possibl'e` <br />CT•LIt1:en, CW=Colo Wildlife, DE•US Energy, <br />OW=US Wildlife, FS•US Forest Service, OR•Other] <br />[H] PENDING SURETY INCREMENTAL DATE.... _ _ / _ _ / _ _ [Enter. date of next scheduled surety <br />modification or expiration.] • <br />(H] DATE OF LAST SURETY UPDATE ........ / / <br />ADDITIONAL PERMIT ISSUANCE INFORMATION <br />(H] PERMIT ISSUANCE DATE... / / XXXXXX XXXXXXXXXX XXXX........• <br />(111 ANNUAL FEE AHOUNT.....Z XXXXXXXXXXX XXX XXXXXX........ <br />[Rouna'to NearesFO~lar] <br />(11] CURRENj SPECIALIST..... [H) CURRENT PERMIT TYPE........... <br />[S: WAAG 1Ter ID - Use 3 Initials - [CL-PT: IL=Illegal.,-HfrHlneral Prospect, <br />No Punctuation Harks or Spaces] 10=110, 11=111, 12=112) <br />DOCUMENT GENERATION SELECTION <br />fENERATE DOf.11F1ENT....... [D=OFCISION DOCIIMENTSJ <br />(I ISSUANCE OF PERMIT DOCUMENTS) <br />