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"`''~;i <br />i~ <br />1i <br />~.. '~.. <br />~l <br />_~ <br />.} <br />M'I .. <br />, <br />-3- <br />15. Acreage of affected area.- <br />Rule 1.04(7) <br />I <br /> ~C'RF.S <br />16. Acreage to be permitted - <br />Rule 1.04(89) <br /> 53 ACRES <br /> <br />l7. Application Fee -Rule 2.01.6 <br />18. Permit term requested - ' ~ <br />Rule 2.01.5 FIVE 5 YEARS <br />APPLICATION REQUIREt4ENTS <br />Type or print clearly in the spaces provided below, the appropriate page <br />number(.;) 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 r <br />clarify the narrative, indicate in the space provided below, where the <br />appropriate map(s) may be found in the application. Pease note that certai <br />maps related to specific information categories are required for an <br />application to be considered canplete. Where maps are required, a title <br />description of the applicable subject 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 A lication <br />INFORMATION CATE60RY NARRATIVE MAPS <br />2.03.4 Identification of Interests 2 03 4 ~ <br />2.03.5 Compliance Information <br /> 2.03.5 <br />2.03.6 Rights of Entry and <br />Operation Information <br /> 7,03.6 <br />2.03.7 Relationship to Areas <br />Designated Unsuitable <br />for Mining <br /> 2.03.7 <br />2.03.8 Permit Term Information <br /> 2.03. <br />2.03.9 Personal Injury and <br />Property Damage Insurance <br />Information <br />2 D.~ Q <br />,i ~ <br /> , <br /> ..il ~ ' °. <br />• u (ELM <br />r <br />I! '. 1 <br />`.re <br />r. ~~, ~ <br />'i!.i <br />~. •: <br />i :r:.. <br />=.9'.:7. <br />4 i~ 7if <br />1. , , ~,~Sa, <br />