1985-01-24_REVISION - M1983052 ‎(5)‎

• Permit No: M1983052
• IBM Index Class Name: Revision
• Doc Date: 1/24/1985
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Type & Sequence: HR1
• Media Type: D
• Archive: No

REGULAF E12) PERMIT APPLICATION '
FORM
-2
11 . General Location and ElevatiOn No change
(miles and direcci on from
nearest town and aPpro.r:mate
site elevation.)
12. County
No change
13a Total Surface Acreage co be In-
cluded 'n Perm' t. (see Rule 1.I(2))!
LNo change
13b. Total Acreage of Affected Lands
(see Rule 2.11(14)) 9
14. Application Fee (see RULE 2 to $765.00
determine anount, based on
permitted area)
15. Present Land Use (i_e., agri-
cultural, industrial, etc.) Mining/Agricultural
26. Surrounding Land Uses No chan e
17. Proposed Future Land Use (final
use after reclamation) No chan e
�8. List Mining Operations Currently None known
In Violation of the Act. (see
34-32-120)
19. The Lands Herein Do Plot Affect Statement affirmed
any of the Lands Described in
Section 115(4) (f) of the Mined
Land Reclamation Act. (specify
affirmation)
MAPS AND EXHIBITS
With each of the five (5) copies of the application form, the applicant must submit a correspond-
ing set of the maps and exhibits outlined in RULE 2, as follows:
1. EXHIBIT A - Legal Description
2. EXHIBIT B - Index Map
3. EXHIBIT C - Pre-mining and Mining Plan Map(s) of Affected Lands
4. EXHIBIT D - Mining Plan
5. EXHIBIT E - Reclamation Plan
6. EXHIBIT F - Reclamation Plan Map
7. EXHIBIT G - Water Information
8. EXHIBIT H - Wildlife Information
9. EXHIBIT I - Soils Information
10. EXHIBIT J - Vegetation Information
1. EXHIBIT K - Climate
EXHIBIT L - Reclamation Costs
13. EXHIBIT M - Compliance with Local Zoning ) See 34-32-115(4)(e)s109(6) S(8)
24. EXHIBIT N - Other Permits or Licenses ) See 34-32-115(4)6(4) (c)
15. EXHIBIT O - Source of Legal Right to Enter ) See 34-32-112(1) (d)
16. EXHIBIT P - Owners of Record of Surface and Subsurface Rights) See 34-32-112(2) (b)s(c)