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<br />~ <br />LIMITE7 IMPACT I10) sss rv:;nt ~:Ll l`ialo.ff- H-: /u!!ey P`IL_9 ~~ <br />3 <br />SP°-CIAL 10-DAY (lll) <br />_____-_-__-'-------- <br />-------'--°-_-_-__ C7Y•PL_~c-(~IL_D) <br />------- _ <br />O:iTC Ma,v„H ~! /9~2 <br />---°---'-------L-------------- <br />1T.M <br />C~MPLc`i ~ AG'c•.~,UATc CDMMS.`JTS <br />aoolicatian Fo m: <br /> <br />1. ?Jame of operation I ~ I x <br />2. Pare of applicartc/operator ( I ' <br /> ~ <br /> <br />3. Address E phone, local <br />X <br />!+. Address b phare, general <br />5. Person to contact <br />6. Sur?ace c++ners X ~ ~ f <br />i. Mineral owners ` ~ ~ ~ I <br />8. Source of legal right-te-enter I S.~ <br />S• TYFe of .sine/substance I I <br /> ~ 5•Z <br />1C. General location 6 elevation <br />y~ <br />11 . County I I Wro„y - cam,,, eJa S <br /> f ~/ i <br />~\ <br />i?. Acrea e I <br />g 1../ia..y _ M.cr ba 9, <br />I <br />~ <br /> X N, -s ~3 <br />~ <br />1,. ~Ee ~ <br /> x <br />14. Present lard use i <br /> x <br />I5. Procased future use• <br />i <br />15. Signature ~ <br /> <br />x i <br />I <br />:!acs and ?xhibits <br />EXH131T ,~ - Leval Description <br />E.'CHIBIT 9 - Mining Pian ( <br />~~ i <br />+ <br /> <br />SXHI3IT C - Nap <br />i:,Yri ~ IT D - '.Ji ldl i fe <br />'mater Pescures <br />, <br />, <br />Veaetaeion, Soils loforaation <br /> <br />k ~ A Sn,o <br /> <br />N«,t ,.?coo so:~ sp..: r_s, <br />