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PERMFILE101031
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PERMFILE101031
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Entry Properties
Last modified
8/24/2016 9:55:29 PM
Creation date
11/24/2007 7:31:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979010
IBM Index Class Name
Permit File
Doc Date
1/22/1979
Doc Name
REGULAR 112 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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112 Permit Application • nt'd.) ! • <br />MAPS b E',OiIBITS <br />With each of the five (5) copies of the application form, the applicant must submit a <br />correapondinp, set of the maps and exhibits outlined Sn Rule 2, as follows: <br />1. Exhibit A - Legal description <br />2. Exhibit B - Index map <br />3. Exhibit C - Pte-mi-Wing b minl;yg plan map (a) of affected lands <br />4. Exhibit D - Piining plan <br />5. Exhibit E - Reclamation plan <br />6. Exhibit F - Reclamation plan map <br />7. Exhibit G - Water information <br />8. Exhibit H - Wildlife information <br />9. Exhibit I - Soils information <br />10. Exhibit J - Vegetation information <br />11. Exhibit K - Climate <br />12. Exhibit L - Reclamation Costs <br />13. Exhibit M - Local government approval <br />14. Exhibit N - Other permits or licensee <br />15. Exhibit 0 - Source of legal tight to enter <br />16. Exhibit P - Owners of record of surface b subsurface rights. <br />NOTICE PROCEDURES <br />After the application has been filed with the Division, notice procedures outlined in <br />~ule 2.2 must be followed. <br />ADDITIOyAL INFORMATION <br />This space can be referenced fur further information of any of [he items on this form. <br />-2- <br />• - <br />To the best of my knowledge, al.l the lnrormati.on presented in this application is true and <br />correct. <br />1 n ~ <br />ya. '~ ..C G ` <br />BY' ~ ~' -> v- ~ ~ - - <br />----' r )~---- '. <br />TTTLE: __-.-. <br />(Sigaature by indiv!dual legally authorized <br />to bind the operator to this application.) <br />
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