Mine Design Plan Template - Ministry Of Energy And Energy Affairs

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MINISTRY OF ENERGY AND ENERGY AFFAIRS
MINERALS DIVISION
MINE DESIGN PLAN TEMPLATE
Please write legibly in black or blue ink. Your responses are not limited to the spaces available. Supplemental pages are to be inserted where
required. Please be advised that incomplete / inadequate submissions shall not be accepted and the Applicant will be required to resubmit a
properly completed template.
1. GENERAL INFORMATION
Information on Applicant
NAME:
TELEPHONE:
ADDRESS:
EMAIL ADDRESS:
FACSIMILE:
Contact (Person duly authorized by Applicant, leave blank if same as above)
NAME:
EMAIL ADDRESS:
PHONE:
FACSIMILE:
MINE / QUARRY LOCATION:
Acreage of Land:
Land Ownership:
Private
(Acres / Hectares)
State
Certificate of Environmental Clearance Reference Number:
Water Abstraction Licence Number:
Town and Country Planning Approval Number:
Survey Plan Number:
Version 2
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