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-3- <br />affected area - <br />15. ~ <br />age <br />f <br />uie <br />0a <br />7 <br />() Less than forty(4o) acres <br />16. Acreage to be permitted - <br /> <br />Rule 1.04(89) Less than fort (40) acres <br />Y <br />17. Application Fee - Rule 2.01.6 <br />18. Permit term requested - <br /> <br />Rule 2.01.5 Five (5) years. <br />APPLICATION REQUIREMENTS <br />Type or print clearly in the spaces provided below, the appropriate page <br />number(s) of the permit application where a a narrative discussion for each <br />information category may be found. Where a map has been used to supplement or <br />clarify the narrative, indicate in the space provided below, where the <br />appropriate map(s) may be found in the application. Please note that certain <br />maps related to specific information categories are required for an <br />application to be considered complete. Where maps are required, a title <br />description of the applicable suo3ect matter to be included, the applicable <br />regulatory citation describing the required information to be presented, and <br />an asterisk (*) appear in the appropriate space below. <br />Each permit application must provide appropriate information which minimally <br />address each of the following requirements. In cases where any item is not <br />applicable, the applicant should so specify. <br />Location in Application <br />INFORh1ATI0N CATEGORY NARRATIVE MAPS <br />2.03.4 Identification of Interests See Attached <br />2.03.5 Compliance Information See Attached <br />2.03.6 Rights of Entry and <br />Operdti0n Inf OrTfldtl0n See Attached <br />2.03.7 Relationship to Areas <br />Designated Unsuitable <br />fOr Mining See Attached _ <br />2.03.8 Permit Term Information <br /> See Attached <br />2.03.9 Personal Injury and <br />Property Danage Insurance <br />I nfUl'Tlldti0n See Attached <br />