PERMFILE138035

• Permit No: M1980131
• IBM Index Class Name: Permit File
• Doc Date: 6/17/1980
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

112 Permit Application (.cont'd.)
19. The lands herein do not affect any of
the lands described in Section 115(4}(f)
of the Mined Land Reclamation Act.
(Specify affirmation)
No described lands affected
MAPS & EXHIBITS
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. EXH181T C - Pre-mining E mining plan map(s) of affected lands
4. EXHIBIT D - Mining plan
5• EXHIBIT E - Reclamation plan
6. EXH181T F - Reclamation plan map
7. EXHIBIT G - Water information
8. EXH181T H - Wildlife information
9• EXHIBIT 1 - Soils information
10. EXHIBIT J - Vegetation information
11. EXHIBIT K - Climate '
12. EXHIBIT L - Reclamation Costs
N8: Concerning the next three EXHIBITS M, N, 0: please note that the
_ July 1978 edition of the Rules and Regulations omits these EXH181T5.
_ This was not a deletion by the Mined Land Reclamation Soard; 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
M, N, 0, as required by RULE 9.1(1), (2) and (3)•
13• EXH181T M - 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)
15. EXH191T 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
Mined Land Reclamation Division, notice procedures outlined in RULE 2.2 must be
followed. (Format for such notices will be included in the letter you receive from
the MLR Staff informine you of the completeness ("filing") of your application.
ADDITIONAL INFORMATION
This space can be referenced for further information of any of the items in this form.
To the best of my knowledge, all the information presented in this application is
true and correct. ~ ~ K7 n~
B Y (D on„~/
TITLE Consultatiz for Quillen Comnanv
(Signature by individual 1=gaily authorized to hind
the operator to this application.}