PERMFILE128811

• Permit No: M1977283
• IBM Index Class Name: Permit File
• Doc Name: CHECKLIST 112 APPLICATIONS
• Media Type: D
• Archive: No

. ~ • iii uiiiiiiiiiii iii
• 1 ~' CHECKLIST - 112 APPLICATIONS
NMIE ~'~'fll~ ~47w/v-h ' ~/W'V~i~ l~ FILE NO . ~-~' Z 03
ADEQUACY '~~-_ COMPLETE
I Simple Stuff
1. Name of Operation 1. (1~'
2. Name of Applicant 2. (1•/
3. Address and one - local ,~~~, 3. (~
4. Address and }one - general ICI 4. (yJ'
5. Person to contact 5. (~
6. Parent Corporation 6. -(--j--j1~/}
7. County 7. (~

8.
General location b elevation (cf. exh. B)
8. /
(`~)
9. Type of mine b substance 9. (~
( ) 10. Other mining permits 10. (~
( ) 11. Prohibited lands 11. (~
( ) 12. Copies of application 12. (~/f

( ) 13.
Signature
13. !
(~J
( ) 14. Other permits or licenses (exit. N) 14. ( )
II Civil Review
( ) 15. Legal description (exh. A, et al.) 15. ( )
( ) 16. Acreage 16. (~
( ) 17. Legal Right to enter (exh. 0) 17. ( )
( ) 18. Local government approval l8. ( )
( ) 19. Fee 19• ( )
III Legal Review
( ) 20. Surface owner) ?0. (~
(exit. P)
( ) 21. Mineral owner) :''-1• (~
IV Maps
22. Index Map (exit. 8)
a. fpgional Location
b. Roads b other access
?2. ( )