PERMFILE123557

• Permit No: M1977252
• IBM Index Class Name: Permit File
• Doc Date: 1/3/1978
• Doc Name: LIMITED IMPACT AND SPECIAL 10 DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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NOTICE PROCEDURES
After the application has been filed with the Division, notice pro-
cedures outlined in Section 3.2 or 4.2 (whichever is applicable) must be
followed.
ADDITIONAL INFORMATION
This apace can be referenced far further information of any of the items
on this form.
**** EXHIBIT E - Reclamation Plan: We will plant Rye Grass and Crested Wheat.
Species of trees alreadv planted are Doua lac Fir,~nnAarnca Dana ~
Scotch Pine, Cedar and Blue Spruce.
To the best of my knowledge, all the information presented in this application
Ss true and correct.
$Y~ r
Title: ~T~~~M~/Superintendent
(Signed bq individual legally authorized
to bind the operator to this application)