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\' <br />l 11'< Pe. ... A.oolicaticn (cent' <br />15 <br />The lands herein do not affect ary of <br />the sands described in Section 119(4)(f~ <br />of the Mined Land Reclamation Act. <br />(Soecifv affirmat~cn) <br />AFFIRMATIVE <br />MAPS ~ EXHIBITS <br />I/ <br />With each of the five (5) copies of the applicatior. form, the applicant must submit <br />a cerrosocnding set cf the raps and exhibits outlined in RULE 2, as follows: <br />1. EXH131T A - L=gal description <br />2. EXH131T B - Index moo <br />3. E:(H131T C - Pre-mining b mining plan moo(s) of affected lands <br />4. EXHIBIT D - Mining plan <br />5. EXHfBIT E - Reclamation plan <br />5.c:(H131T P - Reclamation plan map <br />7. EXHIBIT G - Water information <br />9. E;(H19iT H - 'diidlife informaticn <br />?. EXHIBIT ! - Soils information <br />10. EXHIBIT J - Vecetation information <br />Il. EXHIBIT K - Climate <br />12. EXHIBIT L - Reclamation Costs <br />NB: Ccncerninc the next throe EXHIBITS M, N, 0: please rote *_hat the <br />July 1973 edition of the Rules and ,Regulations omi*_s these EXHIBITS. <br />~_ This ~.aas not a deletion by the Mined Land Reclamation Board; the <br />data required from these EXHIBITS was merely transferred to a new <br />_ section in the Reculations (RULE °, p. 40). Subsequent issues of the <br />Regulations will raflecL the omission of proper cross-refer=_ncine in <br />_ this regard. ?lease include, in your permit a?plication, :X',1131TS <br />M, N, 0, as required by RULE 5.1(1}, (2) and (3). <br />i;. EXH181T M - Local covernmznt approval ) See PULE 9.1(1) <br />14. EXHIBIT N - Other permits or licenses ) See RULE 9.1(2) <br />15. EXHIBIT 0 - Source of legal right to enter ) Sze RULE 9.1(3) <br />ib. E:(HIBIT P - Owners of record of surface and subsurface richts. <br />NOTICE PROCEGURES <br />After the application is considered "filed" (pursuant to RULE l.l(IG) eith *_he <br />Min?d Land Reclamation Division, notice procedures outlined in RULE 2.2 must be <br />followed. (=ormat for such notices will be included in the letter you -eceive from <br />e MLR Staff infermine you cf tie comoieteness ("filing") of your application. <br />ADDITIONAL INFORMATION <br /> <br />This space can be referenced for further informaticn of any of the items ir, this fo n . <br />To the hest of my Icnowledee, all the information presented in this application is <br />true and correct. -~ ~~ ,~~~~"~ <br />8 Y ~' <br />TITLE OWNER <br />(Signature by individual locally a;ahoriced to hind <br />the operator to this application.) <br />