PERMFILE106736

• Permit No: M1978116
• IBM Index Class Name: Permit File
• Doc Date: 4/4/1978
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

112 Permit Application (Co~1,) •, _2_
MAPS b EXHIBITS
With each of the five (5) copies of the application form, the applicant must submit a -'
corresponding set of the maps and exhibits outlined in Rule 2, as follows:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
lb.
Exhibit A - Legal deacriptign
Exhibit B - Index map
Exhibit C - Pre-mining 6 mining plan map(s)
Exhibit D - Mining plan
Exhibit E - Reclamation plan
Exhibit F - Reclamation plan map
Exhibit G - Water information
Exhibit H - Wildlife information
Exhibit I - Soils information
Exhibit J - Vegetation information
Exhibit K - Climate
Exhibit L - Reclamation Costs
Exhibit M - Local government approval
Exhibit N - Other permits or licensee
Exhibit 0 - Source of legal right to enter
Exhibit P - Owners of record of surface S subsurface rights.
of affected lands
NOTICE PROCEDURES
After the application has been filed with the Division, notice procedures outlined in
Rule 2.2 must be followed.
ADDITIONAL INFORMATION
This space can be referenced for further information of any of the items on this form.
To the beat of my knowledge, all the information presented in this application is true andl
correct.
TITLE: ~i'SSf//icC~~-~~-f/~`~rf ~~iT
{ EA/~~ ~'G ~/oH
(Signature by individual legally authorized
to bind the operator to this application.)