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PERMFILE126581
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PERMFILE126581
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Entry Properties
Last modified
8/24/2016 10:23:46 PM
Creation date
11/25/2007 3:37:56 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977522
IBM Index Class Name
Permit File
Doc Name
REGULAR 112 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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112 Permit Appllcnr.ion (C~~d.) <br />PfAPS 6 F.XlII13ITS <br />• _2_ <br />411th each of the five. (S) copies of the application form, the applicant must submit c>. <br />corresponding set of the maps and exhibiks outlined in Rule 2, as Follows: <br />1. Exhibit A - T.eE;a7. description <br />2. Exhibit B - Ind es: map <br />3. Exhibit C - Prc:-Wining b mining plan map (s} of affected Iands <br />4. Exhibit D - t4ining plan <br />5. Exhibit E - Recl:~maeion plan <br />G.- Exhibit F - P.ecl.amatf.on plan map <br />7. Exhibit G - 4'a ter i.nformatlon <br />8. Exhibit H - W11d11Ee information <br />9. Exhibit I - Soils information <br />10. E>:hibit J - Vegetation information <br />11. Exhibit K - Clim,-ate <br />12. Exhibit L - Reclamation Costs <br />7.3. Exhibit M :- .Local governvent approval <br />4. Exhibit N '- 'Other permits or licenses <br />.5. Exhibit 0 - Source of legal right to enter <br />16. Exhibcit P - Owners of record of surface 5 subsurface right9. <br />NOTICE Pe~OCEDURES <br /> <br /> i <br />After the applications has been filed with the Division, notice procedures outlined in <br />Rule 2.2 must be fol:~owed. <br />AD ll I T I0 DlAI. I id E O R1~tA T I O N <br />This space can be referenced for further information of any of the items on this form. <br />~,. <br />•" To the beet of m}• 4:nowledge,'all the inforraatlon present in th placation is true and <br />- correct. <br />~~ .._ BY: <br />TITLE: <br />(Signature by individual legally authorized <br />to bind the operator to this application.) <br />';_ .. <br />hy. , <br />_5 <br />s. . <br />
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