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�J <br /> EXHIBIT G-Source of Legal Right to Enter <br /> Rule 6.3.7 (Starts on Page 143 of the Rules) <br /> 1) Name of owner to the surface of affected land: <br /> Public Domain(BLM) F-1 National Forest(USFS) <br /> State _F State Sovereign Lands <br /> Private (who): <br /> F— Other(please describe): <br /> 2) Name of owner to the subsurface rights of affected land: <br /> Public Domain(BLM) F] National Forest(USFS) <br /> State F_ State Sovereign Lands <br /> —1 Private(who): <br /> R Other(please describe): <br /> 3) If mining is located on Bureau of Land Management Land (BLM) or U.S. Forest Service land (USFS) land <br /> the remaining section must be completed: <br /> i) Claimant: v ��if� U <br /> ii) Serial Number: I i q2— <br /> iii) List Name: 45 R (rr <br /> iv) Address: P(2) a <br /> v) Telephone: <br /> vi) Fax Number: 5 n,. <br /> 4) If the mining operation is located on private, state, or state sovereign lands, please provide a description of <br /> the basis for legal right of entry to the site and to conduct mining and reclamation for Owners of Record <br /> described in Rule 1.6.2(1)(e)(i). This may be a copy of access lease, deed, abstract of title, or a current tax <br /> receipt. A signed statement by the Landowner(s) and acknowledged by a Notary Public stating that the <br /> Operator/Applicant has legal right to enter and is also acceptable. <br /> /V.4 <br />