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<br />i' <br />~ ~~R~lN /LF_~1Fc-,f v.~~Il/"~ '` ~n~D~ MIPIED LAND RECIAMATION REV4'W CILx~CK LIST FOR PERMITS - - ~G I ~l <br />~` / r //~ ~ ~ °~ <br />OPERATOR 7~~J <br />~~LIr l~ FILr <br />td0 <br />l~f <br />~ SIZE OF ACREAGE ~ ~ - <br />DATE OF APPLICATION <br />~: , <br />,_ <br />i_ <br />~ <br />~ <br />- `` <br />` <br />I~fti,v GENERAL LOCATION [/J 6 L1J~ji/ <br />TYPE OF MSNE 7A.~'D COUNTY <br />~ r ~ <br /> Satisfied Specifications <br /> ITEM NO YES If "NO" - Ma'or or Minor Discrepanc <br /> ilA,•~ OF COMPAPiY ~ /l <br />- Na;re of operator <br /> Telephone and Address General Office <br /> Telephone and Address Local Office <br />- <br />F <= GAL DESCRIPPION: <br /> <br />- Anount of Acreage <br /> <br />Fee vl <br />•% <br />'rs •~, <br />~,--General Descri tion <br />// <br />- ,. <br />•~~` - Surface Owners Places <br />~~ , / <br />~~ NLi aeral Owners (Names v <br />~ <br />k' <br />'=" <br />- :..t ~; Le al Ri t to Mine • <br />` <br />~} <br /> <br />~^ Local Government Approval <br />, <br />-mot <br />,'~ ~, Exi stir. erc~its <br />~.`: - <br />' - <br />~,~ ~ hfininz Plan <br />:r; _ <br />v ~ _ <br />q ,, <br />;_ Reclamation Costs <br /> <br /> <br />~ •' Reclamation Plan - <br /> <br />~c~C <br />;~ - ~-'~~=~ w`$.. End use of affected land: <br />_ :- <br />. V ~ -~" <br /> , <br />._-~ - v <br /> Implementation Plan: <br />~~='''~b. <br /> _ <br />~~b~ .r„ _ ;~ c._ Time <br />ta <br />ble of Plan: <br /> ~ <br />Y <br />rTi-T • <br />" <br />- <br />- _ <br />~ <br />~ <br />' <br />:i?: Statement ;or man indicating depth and <br />u <br />thicker ess of the ~ <br />W - ~~. 4Y ,.i°~ - "~ <br /> ~~.. i1f. lr~: _ .. .. ~F.. n,. ,..r ..-rQ~.:... on , <br />2' . <br />~ ..A. _ <br />_ ~ .. .... ~ .J .. S. ., - e <br />