PERMFILE131653

• Permit No: M1977140
• IBM Index Class Name: Permit File
• Doc Date: 6/29/1978
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

112 Permit Applicatian~nt'd.) ' ~ ~ ~ _2_ '
~ i
i
~ MAPS S EXHIBITS '
~ •
With each of the five (5) copies of the application form, the e~pplicant must submit a
corresponding set of the maps and exhibits outlined in Rule 2, ae follows:
' 1.
' 2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15:
16.
Exhibit A - Legal description
Exhibit B - Index map
Exhibit C - Pre-mining b mining plan map(s) of affected lards
Exhibit D - Mining plan
Exhibit E - Reclamation plan
Exhibit F - Reclamation plan map
Exhibit G - Water information.
Exhibit H - Wildlife information
Exhibit I - Sails information
Exhibit J - Vegetation information
Exhibit K - Climate
Exhibit L - Reclamation Coate
Exhibit M - Local government approval
Exhibit N - Other permits or licensee
Exhibit 0 - Source of legal right to enter
Exhibit P - Owners of record of surface b subsurface rights.
NOTICE PROCEDURES

After the application has been filed with the Division, notice procedures outlined in
Rule 2.2 moat be followed.
ADDITIONAL INFORMATION
This apace can be referenced for further information of any of the items on this form.
To the beet of my-kaowledge,_all the information presented is this application is true and
correct.
BY:
• ' TITLE: ~ii~~

(Signature by individual legally authorized
to bind the operator to this application.)
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