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;!1':•1.;~.':D '.:il-'.~i.]FF Ql'FST10.`:AIRE • <br />ier ]i-.ited innact and select rc~ular mine aprlications <br />1. ~-e of Cc-;ianv(`•inc:_~A~~~-~rU'0.}=-1~Zt~C~1.}/~_~ <br />-• .:~.e/Address/Phone of Contact Person: ~~,~e,y-1 S, SC-o l1 <br />------ - ~ti# 30~ - 731 - 4 ~S9 <br />/, " ~ -f C / p w ~ NE <br />3. Location e; `fine:_~/•C~I2 {'GL.. ~.-/OW/~Sh~~~-.3J /y0~~{~_ /[hn p.~_~~f Y r <br />(Count', To'..~snip, P.anPe, Section to nearest quarter quart-er; -rhibit A-P1LR appl.)Se <br />-. _arest 7.'.n/i ~aora] Location: ~O1LS~.,J <br />~. '_=nd C-:~er=iti~ (Circlel,l. Pri•:ate 2. Bt.'~~5 4. Other <br />E. 'rrr=ent l.enc l'se:_-~Q/1].e.__ <br />~. Fre~esed ~ -:nal Land Pse:~~_~~ Qp~~._~_ <br />b. T_:qe of C-_ration: 1 Surface 2..-linder2round <br />~. `:iaerals oa.ng r•inc:_--~QQ~Q„d C7rGLVG/ <br />C. _-_~er an. '`~=criotion o: Scrtace Acres Disturbed by Pfining/no[ including roads <br />'. Miles of roads [o he construct#e,d: /2,5 ,(,(. - <br />_. Life of "tine (~•ears):__~ /O S ~_p_A,Y',S <br />3. Lescri~tien of O~ern_ion and Feclamation -- Additional sheets may he attached <br />(-:•:hibiCS 3 d E-`II.R) <br /> <br />G. Please en~'.osc ":~= of Freioct C~oration, Dis~urSance Areas and Rr_clama[ion (E>:hibit <br />C.) Tnis ~__ii c:~.ne.iitc pruc^_~=.n 'ieur coonerac ion is appreciated. <br />~, Fr~2.;rcd .; Q <br />--~ ~-----~------- pate: 5 ~~/ 8 --- <br />t P;1Cp t (lF ~ <br />