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-2- <br />INFORMATION CATEGORY COM?TENT <br />14 0~ Acreage of Disturbed Area ~,2, 6~ aGHtS <br />15 ~~ Acreage of Affected Area <br />~J~ ua res <br />16 ~ Acreage to be Permitted t~/~ eCCKs <br />17 Application Fee <br />18 v~ Permit Term Requested S \/E ~f~S <br />2.03.4 Identification of Interests <br />Q 2.03.5 Compliance Information <br />[~]' 2.03.6 Rights of Entry and Opera- <br />tion Information <br />t' 2.03.7 Relationship to Areas Desig- <br />nated Unsuitable for Mining <br />^/ 2.03.8 Permit Term Information S„i~., _ ~/~~ .h ~,~ <br />2.03.9 Personal Injury and Property <br />Dama¢e Insurance Information <br />A-I-r~}cF~r~7En/Y ~ C0NF1~'~~' <br />~- <br />~Y~ 2.03.10 Identification of Other ` ~~ ~ " ~'~' ~ ~''"` <br />Licenses and Permits <br />~ [~ 2.03.12 Newspaper Advertisement ~r~ "`~''r,{"~' "~1 "^``L" ~" <br />(Submit a Copy of the News- <br />paper Advertisement) <br /> <br /> <br />G <br />.04.3 <br />Site Descri tion and Land ,7.0`7 ~ 3 ({ ~Ny ~~ ~,.. <br />~ <br />~,:t-• ~ <br />,C,o, <br />, <br />, <br />d <br />1 ~ w. •i r.•.n~.j 7.04.3. <br />~ 7 <br />. <br />,s"( <br />h~ <br />; <br /> Use Information .. <br />~~ <br />. <br />. <br />, . <br />~.,, <br />'S r <br />~ <br />•CY" "°~. <br />n 2.04.4 Cultural and Historic <br /> Resource Information <br />Q 2.04.5 General Description of <br /> Hydrology and Geology <br />~' '2.04.6 Geology Description <br />no ~~^• o-. <br />~,~ `~° "" "'~ ~ °~{~ 1•`••, ~ •% <br /> <br /> .04.7 Ground Water Information "° "~i' ~°' ".~l.r ~ <br /> (1) <br />' D 2.04.7 Surface Water Information ,z r. 4. ~.~., ~.ri ~ ~7.~.. "-'P <br /> (2) <br /> 2.04.7 Alternative 1Vater Supply 1 ~) <br />,r.:i <br />. <br />aA~.c.',.~••r .> .o <br />.. _ ,,~'7•.. <br />. <br />7 <br /> (3) Information ' <br />( <br />^ ~P <br />, <br />. <br />2.04.6 Climatological Information <br />