2005-07-21_REVISION - M1980027

• Permit No: M1980027
• IBM Index Class Name: Revision
• Doc Date: 7/21/2005
• Doc Name: Reclamation Permit Conversion Application Form
• From: DMG
• To: Bumgardner Ranches Inc
• Type & Sequence: CN1
• Media Type: D
• Archive: No

4-
12. Primary future (Post-minna¢) lead use (check one):
_ Cropland(CR) _ Pastureland(PL)
Rangeland(RL) _ Forestry(FR)
_ Residential(RS) _ Recreation(RC)
_ Developed WaterResources(WR)
General Agricult~ue(GA)
_ Wildlife Habitat(WL)
_ Industrial/Commercial(IC)
Solid WasteDisposal(WD)
13. Primary present land use (check one):
_ Cropland(CR)
Rangeland(RL)
- Pastureland(PL)
General Agriculture(GA)
Forestty(FR)
Residential(RS) _ Recreation(RC)
_ Developed WaterResources(WR)
WildlifeHabitat(WL)
IndustriaUCotttmercial(IC)
14. Method of Minin¢: Briefly explain mining method (e.g. truck/shovel): Loader ~-eecli n 61 ~Y,l.~ h'L-r
15. On She Precessia¢: ~. Crusbing/Screening
13.1 Btefly explain mining method (e.g. trucl/shovel):
n
/;
List any designated chemicals or acid-producing materials to be used or stored within permit area:
16. Description of Amendment or Conversion:

If you are amending or converting an existing operation, provide a brief natrative describing the proposed change(s).