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<br />-2- <br />IYFOR~taTIOY CATEGORY COIyi~lE\T <br />14 L Acreage of Disturbed Area ~ g ~. <br />15 a Acreage of Affected Area y <br />16 ~ Acreage to be Permitted 11 <br />17 ~ application Fee it <br />13 ~ Permit Term Requested; i/ <br /> L 2.03.4 Identification of Interests I ~ <br />,; lV <br />~ <br />~~ <br />„ <br />~,,,t~(,~„ <br />_T <br /> ~ <br />~q <br />~ <br />_ <br />~ <br />m~ <br /> 2.03.5 Compliance Information ? <br /> 2.05.6 Rights of Entry and Opera- ~ l~ <br /> lion Information <br /> 2.03,7 Relationship to areas Desig- I <br />~ <br /> Hated Unsuitable for Mining I <br /> 2.03.9 Permit Term Information I o /G <br /> D ?.03,9 Personal Injury and Property <br /> Damage Insurance Information l~ ,i .. ~, <br />~ <br /> ~ <br /> 2.03.10 Identification of Other <br />d P <br />L <br />i I ~ ~~,.. <br />~ <br /> icenses an <br />erm <br />ts J w. <br /> [j ?.03.1? Yewspaper Advertisement <br /> (Submit a Copy of the Yexs- - <br />~- <br /> paper Advertisement) ' %~> ~ ~ <br /> Q ?.04,3 Site Description and Land ~, <br />- <br /> Use Information ~ <br /> ?.04.4 Cultural and Historic <br /> Resource Information ~,~, ~5 r4 <br /> Q 2.04.5 General Description of MF'` <br /> Hydrology and Geology I <br /> I~ ?.04.6 Geology Description <br /> ~~ <br />~..C' <br /> 2.04,7 Ground {Vater Information <br />/~ 7 <br /> - (1) G <br /> (~ ?.04.7 Surface Water Information <br /> ~ <br /> 2.04.7 Alternative iVater Supply ~ <br /> (3) Information ~ <br />( <br />~ <br /> c <br />~ <br /> I] 2.04.3 Climatological Information <br />'S '~~~ <br /> L k <br />