PERMFILE102542

• Permit No: M1981004
• IBM Index Class Name: Permit File
• Doc Name: APPLICATION CHECK LIST
• Section_Exhibit Name: EXHIBIT A LEGAL DESCRIPTION EXHIBIT B MINING PLAN EXHIBIT C MAP EXHIBIT D WILDLIFE WATER RESOURCES V
• Media Type: D
• Archive: No

]/]$ • APPLICATION CiicC~<LIST//,^J/ IIIIIIIIIIIIIIIIIII
LIMITED IMPACT (110) ~ NAME /1Y~ ~~~ 999
hlLt c
SPECIAL 10-DAY (ill) _ COMPLETE (F LED) DATE
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ITEM COMPLETE ADEQUATE COMMENTS
Apolication Form:
1. Name of operation /
/ • /
,//
2. Name of applicant/operator
3. Address b phone, local / ~~
4. Address b phone, general
5. Person to contact
6. Surface owners
'
7. Mineral owners ,
8. Source of legal right-to-enter
9. Type of mine/substance , /
10. General location b elevation !/
1 1 . County ~ ~ /~
12. Acreage
13. Fee
14. Present land use / ,~
15• Proposed future use •
I
16. Signature J
Maos and Exhibits
EXHIBIT A - Legal Description ~ / _. ._
EXHIBIT 8 - Mining Pian
EXHIBIT C - Map
EXH IBIT D - Wildlife, W~ter Resources)
Vegetation, Soils Information