PERMFILE134828

• Permit No: M1982121
• IBM Index Class Name: Permit File
• Doc Date: 9/14/1982
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

112 Permit Application (cont'd)
19. Tlie lands herein do not affect any of They do not affect any such lands
the lands described in Section 115(4)(f) _ __
of the i`linecl Land Reclamation Act,
(Specify affirmation)
MAPS b EXHIBITS
With each of the five (5) copies of the application form, the applicant must submit a
corresponding set of the maps and exhibits ou U fined in RULE 2, as follows:
1. EXHIBIT A - Legal description
2. EXHIBIT B - Index map
3. EXHIBIT C - Pre-mining & mining plan map(s) of affected land;: (C-1 thrU C-5)
4. EXHIBIT D - PSining plan
5. EXHIBIT E - F,eclamation plan
6. EXHIBIT F - Reclamation plan map {See Exhibit C-3)
7. EXHIBIT G - 1Jater information
8. EXHIBIT H - lJildlife information
9. EXHIBIT I - Soils information
10. EXHIBIT J - Vegetation information
11. EXHIBIT K - Climate
12. EXHIBIT L - Reclamation Costs
NB: Concerning the next three EXHIBITS *I, N, 0: Please note that the
July 1978 edition of the Rules and Regulations omits these EXHIBITS.
This caas not a deletion by the Ptined Land Reclamation Board; the
data required from these EXHIBITS was merely transferred to a new
section in the Regulations (RULE 9, p. 46), Subsequent issues of the
Regulations will reflect the omission of proper cross-referencing in
this regard. Please include, in your permit application, EXHIBITS
i(, N, 0, as required by RULE 9.1(1), (2) and (3).
13. EXHIBIT }t - Local government approval ) See RULE 9.1(1)
14. EXHIBIT N - Other permits or licenses ) See RULE 9.1(2)
15. EXHIBIT 0 - Source of legal right to enter ) See RULE 9.1(3)
16. EXHIBIT P - Owners of record of surface and subsurface rights.
NOTICE PROCEDURES
After the application is considered "filed" (pursuant to RULE 1.1(10) with the Ptined
Land Reclamation Division, notice procedures outlined in RULE 2.2 must he followed.
(Format for such notices will be included in the letter you receive from the 4TLR
staff informing you of the completeness ("filing") of your application.
ADDITIONAL INFORASATiON
This space can be referenced for further information of any of the item:: in this form.
To the best of my knocaledge, all the information presented in this application is true
and correct.
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TITLE /li ~ C ~~R~? i~r~.ri ~__
(Signature by individual legally authorized to
bind the operator to this application.)
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