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7/'a ~ ~iP=! 1 Gi.T ~'~~~ f.J:'_.~L ~~ 1 • III IIIIIIIIIIIII III <br />999 <br />LIHITED InPACT (I10) ~ MA!tE ~~4-%!~~~~~~T_,_ FILE ~' 99 <br />SPECIAL 10-f)AY (I11) ~ COttFI°_TE (F(LED) ]ATE <br />I TE'i CCM,PL: ~ E ADE•.'~UATE CDHHE'JTS <br />Aoolicaticn Fprm: <br />1. !lame of o oration <br />I <br />~~~~~ ~~-- ~f-~ <br />2. 4ar..e of applicant/opera tar <br />3. Address a: phone, local <br />t <br />w. Address v phone, general i <br />j. Person to contact / <br />e~ <br />6. Surface owners / <br />`/ <br />` <br />7. >iineral tuners ( <br />/ I ~ <br />8. Source or legal right-to-enter I / I I /, <br />f U-~'~ <br />3. Type of mine/substance <br />IG. General location 6 ,elevation/' <br />~ I ~~ I <br />f <br />li. Courtly ! <br />~/ I `` <br />I <br />i3. AereaSe ~ I S <br />5 <br />I~. fee <br />/Z~g i <br />14. Present land use <br />I5. Prc:ased future use / I <br />/ <br />i f <br />4 <br />ib. SiSnature f <br />I / <br />/ <br />I <br />!!aos and Exhibits <br />EXHIBIT A - Legal Description <br /> <br />`/ <br />E::4131T B - Mining Plan <br />EX11 l 31 T C - Nap f ~ ~ <br />EXii „~il- D - 'Ji Idli= :ate•r es~:uress? I <br />egeta~on, Soils ~.I^i°or-a;icn ~//~ <br />J U i <br />Ii <br />