Laserfiche WebLink
7/78 APPLICATION CHECKLIST <br />REGULAR 112 APPLICATION <br />ITEM <br />III IIIIIIIIIIIII III <br />9s9 <br />o~~o ~Yr <br />NAME `Hantnok Gruool O.r" FILE <br />~~ <br />COMPLETE (FILED) DATE o ~ 3 y / q8/ <br />COMPLETE ADEQUATE COMMENTS <br />Application Form: <br />1. Name of operation <br />S/ <br />L~ <br />2. Name of applicant <br />3. Address E phone, local <br />4. Address E phone, general <br />5. Person to contact <br />I <br />6. Parent Corporation, if any <br />7. Surface Owners <br />8. Mineral Owners <br />9. Source of Legal Right-to-Enter <br />10. Type of Mine/Substance <br />Il. General Location 6 Elevation <br />12. County <br />sC <br />X <br />13. Acreage <br />R <br />14. Fee <br /> <br />15. Present Land Use ~ x <br />16. Surrounding Land Uses ~ <br />17. Proposed Future Use <br />18. Unpermitted Mining Operations <br />19. Affected Lands <br />20. Signature ~ /JcP~ S~g~N~-r~ -ct7~ ;~ <br />`~ sf~ <br />(over) <br />