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REV98669
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REV98669
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Entry Properties
Last modified
8/25/2016 3:22:43 AM
Creation date
11/22/2007 12:20:24 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1974069
IBM Index Class Name
Revision
Doc Date
4/5/1979
Doc Name
REGULAR 112 PERMIT APPLICATION FORM
Type & Sequence
HR1
Media Type
D
Archive
No
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112 Permit A>>licatiou (ConC'd.) _2_ <br /> <br />. ` • • <br /> MAPS b I~:Alllltll'S <br />With each <br />correspond f <br />ng the five (5) copies of the application form, the applicant. must submit a <br />set of the maps and exhibits oucliued in kule 2, as Collows: <br />1. Exhibi A - Leal description <br />2. Exhibi R - Index map <br />3. Exhibi C - Pre-minim L wining plan map(s) of affected lands <br />4. Exhibi U -Yining plan <br />S. Exhibi E - Declamation plan <br />6. Exhibi F - Reclamation plan map <br />7. Exhibi C - 4later information <br />8. Exhibi }1 - IJildlife information <br />9. hxhibi I - Soils information <br />10. Exhibi J - Vel;etation information <br />11. Exhibi K -Climate <br />12. Exhibi i, - ReclnmaCion Costs <br />13. Er.hibi hi -Local povcrnmenC approval <br />14. hxhibi N -Other permits or licenses <br />15. Exhibi 0 - Source of legal right to enter <br />16. Exhibi P -Owners of record of surface ti subsurface rights. <br /> NOTICE PROCPaUR]i5 <br />After the a p1lcaClmi leas been filed with the lllvislon, notice procedures outlined in <br />Rule 2.2 mu t be followed. <br /> ADUI'PiONAI. 1P1 ~O1:CL11'l0iJ <br />This space an be referenced for further information of any of file items on this form. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />To the best <br />correct. of my knowledl;r., all the information pruseu~r this application is true and <br />~ <br />ISY ~ __ f~ ~i ~ <br /> <br /> (SJ.gnatura by individual lcp,a]ly authorized <br />to I~in~l rile operator to this application. ) <br />
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