REP32987

• Permit No: M1997032
• IBM Index Class Name: Report
• Doc Date: 5/7/1997
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

-3-

Primart future (POSt-mining) land use (check one):
_ Cropland(CR)
gy Rangeland(RLI
_ Pasturel and(PL)
_ Forestry (FR)
Residential(RS) _ Recreation(RC)
_ Developed Wa[er Resources(WR)
12
Primarf present land use (check one):
_ Cronland(CR)
x~c Rangeland(RL;
_ Pastureland(PL)
_ Forest ry(FR1
_ Residential (RS) _ Recreacion(RC)
_ Deve'_cped water Resources (c.-R)

_ General Agriculture(GA)
_ Wildlife Habitat (WLl
_ Industrial /Commercial (IC)
_ Solid Waste Disposal (WD)
_ General Agriculture(GA)
Wildlife Habitat (wL)
Industrial/Commercial(IC)
_ Mining (NIN)
13. If this operation will use designated chemicals, or will result, or
presently has acid mine drainage - you cannoC use this application
~crn. ~cu sust submit a either a 110d or 112d application form :or
Designated M_ninc Operations. T_n either case, you must list any
acidic or toxic-forning materials, e_~cposed or disturbed as a result oL
the mining operation, and whether the operation will result in or
presently has acid mine drainace:
There are no acidic or toxic materials in waste rock from this operation; in fact,
• rocks run from 3~ - 6& lime content, thus arecluding such constituents.
DescriDC:cn of =~encme^t or Corner=icr.:
If you are a_mendinc or convertinc ar_ Sxistinc operation, provide a brie.
narrative descr_b:ng the Drooosed change(s).
Maps & E:cn_bzcs :
$ubm1L T470 (2) CCIi1D 1212. 11nbOU P.d CCDi eS Of the following dDD1iCaC10n
E-~Chlblts:
6.3.i ~:{HInI'1' A - Leca_ Description and Location Map
6.3.2 E:{HIE_TT B - Site Description
6.3.3 3:C?:IBT_T C - Mining ?tan
6.3.1 E:{HIBIT D - Reclamation Plan
6.3.E 3:{HIP.T_ E - Maps
6.3.5 °_:{HIS.T e - List c_ Other ?e_:,,its and LiC=_nses Recuir=_d
6.3.7 3:{H=B=T G - Socrce of Le=a1 R_cht-to-3:ter
5.3.° EYH=3_T H '^_uniciDal_cies Wit:^~n a '?`.~o-m__e Radius
c.3.9 E:i=:I~=T - P=00° Of F11_nc wit_`? CGUnL.~ C'_2rk
6. ? . 1U .-..:h-~- u - -°rOG= OL Md 1.1_ :C VCC_CeS OL Pe ra11C ADD 1'_CaL=C^.
o.l ^ ci ADDEi:DGN! - - Hot_c=_ 3°cuire.^.ienLS (samni_ a^c'_ese~)

5. _ ~20C2C ~.-__ 3_ jL~J___- S:i_^._J1= ( 5 r°C'1 _r?C~