1999-02-18_PERMIT FILE - M1999011 ‎(6)‎

• Permit No: M1999011
• IBM Index Class Name: Permit File
• Doc Date: 2/18/1999
• Doc Name: CONSTRUCTION MATERAILS SPECIAL 111 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

• • •
_2_
Same
Company Name:

Street:

City:

State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT S ame
Individual's Name:

Company Name:

Street:
_
Ciry:

State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDfiP.AL LANDOWNER (if aav) N/A
Agency:

Street:
PER_*LTT'_'INC' CONTACT lif different from applicant/operator above)
Individual's Name: Title:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATfi OR FfiDfiRAL LANDOWNER (if aav) N/A
A4~cI' :
Street:
City:
t, State: Zip Code:
Area Code: Telephme:
11. Primary future (Past-mining) land use, check one:
Cropland(CR) _ Pasturelaad(PL) _ General Agriculture(GA)
x Rangelaad(RL) _ Forestry(FR) _ Wildlife Habitat(WL)
_ Resideatial(RS) _ Reereation(RC) _ Industrial /Commercial(ZC)
_ Develoced Watez Reaources(WR) _ Solid Waste Disposal(WD)
12. Primary present laced use, check one:
Cropland(C12) _ Pasturelaad(PL) _ General Agri cultvre(GA)
~_ Rangeland (RL) _ Forestry (FR) _ Wildlife Aabitat (WL)
Reaideatial(RS) Recreatian(RC} Zndust_^i.al/Cammercial(ZC)
_ Developed Water Reaource8(WR) _ Mining(MN)
13. Maps ~ fixhibits:
Submit tw (2) complete, unbound copies of the folloviag application exhibits:
6.3.1 fi~TT A - Legal Description and Location Map
6.3.2 fiSHIBTT B - Site Descipcioa
6.3.3 ESIiIDTT C - Mining Plan
6.3.4 SSHZBTT D - Reclamation Place
6.3.5 EEBIBTT 8 - Maps
6.3.6 HB~TT P - List of Other Permits aced Licensee Re~•;red
6.3.7 fi83IBIT G - Sovrce of Legal Right-to-Satez
6.3.8 B%HIBIT A - Municipalities Within a Two-mile Radius
6.3.1O8XHIBTT J - Proof of Mailing Notices of Permit Application
6.3.11SEHIDIT R - Terms of Gone-TM^~~tal Contract
6.4.19fiXEIBIT S - (as zequired)
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