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Get DoI 10-114 2010-2021

Ed to its original condition at the end of the permit. The permit begins at (am/pm) on (Month/Day/Year) The permit expires at (am/pm) on (Month/Day/Year). SUMMARY OF PERMITTED ACTIVITY: (see attached sheets for additional information and conditions) Person on site responsible for adherence to the terms and conditions of the permit (include contact information): Authorizing legislation or other authority: NEPA Compliance: CATEGORICALLY EXCLUDED EA/FONSI EIS APPLICATION FEE Received No.

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