PERMFILE115843

• Permit No: C1981020A
• IBM Index Class Name: Permit File
• Doc Date: 1/20/2004
• Section_Exhibit Name: Application Form
• Media Type: D
• Archive: Yes

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4
Application Requirements
Type or clearly print the appropriate original or revised page numbers} of the permit application in
the spaces below. Where a map has been used to supplement or clarify the narrative, indicate in
the space provided where the appropriate map(s) may be found in the application. The asterisk (')
denotes sections where maps are required.
Each application for permit renewal must provide appropriate information which minimally
addresses each of the following requirements. The narrative should describe the conditions which
have been encountered during the previous permit term, and analyze how those conditions
compare with those anticipated in the original permit application. These narratives should be
submitted as revised pages.
Incases where any item is not applicable, the applicant should so specify.
Location in Application
Information Category Narrative Maps
2.03.4 Identification of Interests Vol III Apx A NIA
2.03.5 Compliance Information Vol III Apx B NIA
2.03.6 Rights of Entry and Operation Information Vol III Apx C NIA
2.03.7 Relationship to Areas Designated
Unsuitable for Mining Vol I Sec a.t.1 NIA
2.03.8 Permit Term Information Val I Sec 2.t NIA
2.03.9 Personal Injury and Property Damage
Information Val III Apx D NIA
2.08.5 Bonding Information Val I Thl 3.7.2;
3.9-2 & 3.9.6 NIA
2.03.10 Identification of Other Licenses and Permits Vol III Apx E NIA
2.03.12 Newspaper Advertisement (Submit a copy of
the proposed newspaper advertisement) Attached NIA
2.04.3 Site Description and Land Use Information Val 1 Sec a.1 Vol II Fig 2.2.1; 2.2-13 &
4.1-1; Vol III Apx K
2.04.4 Cultural and Historic Resource Information Val I Sec 4.1.5 Vol III Apx J
2.04.5 General Description of Hydrology and
Geology vol I Sec 4.2; 4.3;
a.a; a.5 vol II Fig 2.3-4 & 4.z•4
2.04.6 Geology Description Vol I Sec 4.2 & 4.3 Val II Fig 4.2.1 thru 4.3-11
2.04.7(1) Ground Water Information Vol I sec a.a vol II Fig a.2.2 & a.a-1
2.04.7(2) Surface Water Information Vol I Sec 4.5 Vol II Fig 2.3.4 & 2.3.5
2.04.7(3) Alternative Water Supply Vol I Sec 2.3.3.1 NIA
01/14/04