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Yds. Reclamation Fee per ton BLM will check this box if there are additional stipulations attached to this permit. 14 Removal area is within Community Pit Common Use Area - Serial No. Permittee will perform reclamation in Community Pit Common Use Area in lieu of reclamation fee Permittee must follow/comply with BLM mining and reclamation plan Quantity Type of Material select applicable in-place units cu. 40-44 Permittee is responsible for reclamation of permit area Financial Guarantee is...
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Specific information about who needs this form can be found in the instructions or guidance provided by the BLM or the relevant regulatory authorities.
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