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112 •Per:ait .•oolication tcont a.) <br />19.. -The lands herein do not affect any of <br />the lands described in Section 115(4)(f) <br />of the Mined Land Reclamation Act. <br />(Specify affirmation) • <br />Not Affected <br />HAPS b EXHIBITS <br />With each of the five (5) copies of the application form, the applicant must submit <br />a corresponding set of the maps and exhibits outlined, in RULE 2, as follows: <br />1. • EXHIBIT A - Legal description <br />2. %EXHIBIT B - Index map <br />3. EXHIBIT C• -.Pre -mining S mining plan map.(s) <br />'- EXHIBIT'-D---Mtning plan - <br />5. EXHIBIT E - Reclamation plan <br />6. EXHIBIT F - Reclamation plan map <br />7. EXHIBIT G - Water Information <br />8. EXHIBIT H - Wildlife information <br />9. EXHIBIT 1 - Soils information <br />Aft10. EXHIBIT J - Vegetation information <br />Aril. EXHIBIT K - Climate <br />12. EXHIBIT L - Reclamation Costs <br />NB: <br />of affected lands <br />• <br />Concerning the next three EXHIBITS 14, N, 0: please note that the <br />July 1978 edition of the Rules and Regulations omits these EXHIBITS. <br />This was not a deletion by the Mined Land Reclamation Board; the <br />data required from these EXHIBITS was merely transferred to a new <br />section in the Regulations (RULE 9, p. 46). Subsequent issues of the <br />Regulations will reflect the omission of proper cross-referencing in <br />this regard. Please include, in your permit application, EXHIBITS <br />M, N, 0, as required by RULE 9.1(1), (2) and (3). <br />13. EXHIBIT M - Local government approval ) See RULE 9.1(1) <br />14. EXHIBIT N - Other permits or licenses ) See RULE 9.1(2) <br />15. . EXHIBIT 0 - Source of legal right to enter ) See RULE 9.1(3) <br />16. EXHIBIT P - Owners of record of surface and subsurface rights. <br />V <br />NOTICE PROCEDURES <br />After the application Is considered "filed" (pursuant to RULE 1.1(10) with the <br />Mined Land Reclamation Division, notice procedures outlined in RULE 2.2 must be <br />followed. (Format for such notices will be included in the letter you receive from <br />4110 the MLR Staff informing you of the completeness ("filing") of your application. <br />ADDITIONAL INFORMATION <br />This space can"be referenced for further information of any of the Items in this form. <br />To the best of my knowledge, all the information presented in this application is <br />true and correct. <br />l • <br />TITLE Edward J._ Settle, P_E. <br />(Signature by individual legally authorized to bine <br />the operator to this application.) <br />