PERMFILE112090

• Permit No: M1974092
• IBM Index Class Name: Permit File
• Doc Date: 3/30/1979
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

!' ^n •
i9. The lands herein do net ar'fect any of
the lands described in S_ction 115('+)(f) n0
of :he !lined !ana Reclar.ation ?ct. -------------------~
iS~eci`v affir:-ation)
M'.PS ~ EX.H191TS
'din etch of the five (5) copies of the application form, the applicant Test submit
a corn=s?onaing set of the ,-aps and exhibits outlined in 3ULE 2, as follows:
EX'r,191T >; - Legal description
7.. EXF'19;T B - index rap.
;. EXH191T C - Pre-reining ~ mining plan ma?(s) of affected lands
L. E:'hIBIT D - Mining plan
$. EXY'91T e - Reclamation clan
5. EXH;~IT - Reclar.aticn plan Rap
i. EY.H191T G - 1:ater infor^~aticn
3. EXH191T H - '.lildlife infcrnation
? cXH;91T I - Soils inforration
lC. EXH191T J - 'leretation infornaticn
11. EXHIBIT '(, - Cl :Hate
12. EXHIBIT L - Pacia.Tation ;,osts
'.B: Cencerninc the next three EXH191T5 M, hl, 0: clease not= that :he
_ July 1978 edi;icn of t'~z Rul a and =egulations emits t;^_se EX;~I_ITS.
_ ,-is tea- r.et a dele;ior, oy t~z "!-.ed 'and :zclsr.a:i^r, 9c_r_': - _
_ data recuired Prcra tnese EXH131TS .vas -_.ely trans`erred to a n_.,
_ section in the r',eculations .'FL'EE 9 p. LE). Subsecuen: issues of the
Regulations will reflect the emission of proper cr_ss-re`erenc'ng in
_ ttiis r°?ard. Please include, in year permit application, EX;iIBITS
M, 'J, 0, as requirad by .RULE 9.1(1), (2) and (3).
1";. EXr131T M - Local govern-erit acoroval ) See RU Lc- 9.1(1)
l,. EX~iBIT N - Otier cermits or licenses ) Sae RULE 9.1(2)
15. EXHIBIT C - Source of legal rieht to enter ) See RULE 9.1(3)
15. EXH131": ? - Owners of record of surface and subsurface riches.
NOTICE 7OOCE91J'.ES
after t`e acplication is considered "filed" (pursuant to R'JLE l.l(i0) •„ith itie
"fined Land ?zclaration Division, notice crecedures eutlir.ed in 3ULE 2.? -cst be
followed. (=ornat for such notices will be included in the ~et'er you __ei/e from
:ne `1LR Staff informing •"ou of tine cor,cle[_ness ("filing";~ of yocr aooiitat;on.
ACDITIC`1PL I':FCRY,4TIGN
T:nis 57aCe Can be referenced fOf fufiher infOr~.atlOn Of any Of the i;e n5 in t.`.is -0r~,
To the best cf my 4r,owledge, all the infor-aticn :resorted fir. this acc~ication is
tree end correct. DO (-M I1LE$fZRORATION
T I TEE -:.~-~~._...~ ----------- --
(Signature Sy ind~viduai .egaliy a~thori.:ed to find
the operator to :his axlication.)