Laserfiche WebLink
IIMITc7 IMPACT (11C) ~ ,y;:,,~~ E/bei(' CnoefY -~~b/ctf- P; fn P[Lc = 3-I~p <br />e?e~~I.;L f0-DAY (Ill) IIIIIIIIIIIIIIIIIII----C?-a1-'~-(-Il_~}_-]=Tc_ <br />ITicy 999 C7MPL°Ti: AD'cQU~T= C7MM°_)IT$ <br />Aoolication Fcrn: I <br />` <br />1. Name of operation i X I <br />pt <br />2. !lame or applicant/operator <br />D~ <br />D~- <br /> <br />3. ~ldcress E phone, local _ <br />w. .~ccress .phone, general <br />X <br />~ .x j <br />I <br />5. Person to contact <br />6. Surface c++ners ~ <br /> <br />k X f <br />7. Mineral tuners I I <br />k X <br />?. :cure of Ieea1 rich:-to-enter <br /> <br />Type of mine/suSstanca I <br />~ <br /> X X <br />.7. General location E elevation <br />~ <br />X <br />11. County <br /> X <br />i2, .4creaee ` <br />x I pr.b[e-~- e(-F safe vro.k <br />P <br />1 <br />~ <br />~ X ~ h <br />ls. Present land use I <br /> V <br />^ <br />f <br />15. ?rocased future use ~ ~ <br /> X ~ i <br />15. Sicnatur: ~ i <br />yaps and _;chibi,s <br />_XH131T ,: - Leeal Description <br /> k <br />c::Hi31T 9 -Mining ?lan <br />i <br />ReC. afke. 1~4~~~ <br /> <br /> <br />:(H131T r M <br /> <br />~ `II <br />l'tep Qrebl~•^^ W- u~l-~;nC <br />c <br />aP x t <br />~ <br />Y <br />~.~:1 '.:I ~ ~~1 I~ <br />L, nd te.^ ~~e SCU .e5, <br />` 1 <br />x <br />I RQ-f. oY~~-- loerer <br />leceCacicn, Sc. t;v~r~or-a7icn I <br />