PERMFILE135153

• Permit No: M1977141
• IBM Index Class Name: Permit File
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~Y9 {_' • •
112 Permit Application (Cont'd.) ~_
MAPS 6 EXfiIBITS
With each of the five (5) copies of the application form, the applicant must submit a
corresponding set of the maps and exhibits outlined in Rule 2, as Follows:
1. Exhibit A - Legal description
2. Exhibit B - Index map
3. Exhibit C - Pre-mining b mining plan map(s) of affected lands
4. Exhibit D - Mining plan
5. Exhibit E - Reclamation plan
6. Exhibit F - Reclamation plan map
7. Exhibit C -Water information
8. Exhibit H - Wildlife information
9. Exhibit I - Soils information
10. Exhibit J - Vegetation information
12. Exhibit K - Climate
12. Exhibit L - Reclamation Costs
13. Exhibit M - Local government approval
14. Exhibit N - Other permits or licensee
15. Exhibit 0 - Source of legal right to enter
16. Exhibit P - Owners of record of surface 6 subsurface rights.
NOTICE PROCEDURES
After the application has been filed with the Division, notice procedures outlined in
Rule 2.2 must he followed.
ADllITIONAL INFORMATION
This apace can be referenced for further information of any of the items on this form.
To the best of my knowledge, all tl~e information presented in this application is true and
correct. n h
BY:
TITLE:
(Signature by individual legally authorized
to bind the operator to this application.)