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• 112 Permit Aoolicatio'n (cont'd• <br />• <br />19. The lands herein do not affect any of <br />the lands described in Section 115(4)(f) <br />of the Mined Land Reclamation Act. <br />(Soecifv affirmation) <br />MAPS E EXHIBITS <br />With each of the five (5) copies of the application form, the applicant must submit <br />a corresponding set of the maps and exhibits outlined in RULE 2, as follows: <br />1. EXHIBIT A - Legal description <br />Z. EXHIBIT B - Index map <br />3• EXHIBIT C - Pre mining E mining plan map(s) of affected lands <br />4. EXHIBIT D - Mining plan <br />5. EXHIBIT E - Reclamation plan <br />6. EXH!91T F - Reclamation plan map <br />7: EXHIBIT G - Water information <br />8. 'c:(HIBIT H - Wildlife information <br />9. EXHIBIT I - Soils information <br />10. EXHIBIT J - Vegetation information <br />ll. EXHIBIT K - Climate <br />i2. EXHIBIT L - Reclamation Costs <br />NB: Concerning the next three EXHIBITS M, N, 0: please note 'hat the <br />'' _ July 1978 edition of the Rules and Regulations omits these EXH131TS. <br />This was net a deletion by the Hined Land Reclamation board: the <br />_ data required from these EXHIBITS was merely transferred to a ne~.+ <br />section in the Pegulations (RULE ;, p. 46). Subsecuent issues of the <br />Regulations will reflect the omission of proper cross-referencing in <br />_ this regard. Please include, in your eermi[ application, EXHIBITS <br />M, N, 0, as required by RULE 9.1(1), (2) and (3). <br />13. EXHIBIT M - Local government approval ) See RULE 4.1(1) <br />14. EXriIDIT PI - Other permits or licenses ) See RULE 9.1(2) <br />15• EXHIBIT 0 - Source of legal right to enter ) See RULE 9.1(3) <br />16. EXH191T P - Owners of record of surface and subsurface rights. <br />NOTICE PROCEDURES <br />After the application is considered "filed" (pursuant to RULE 1.1(10) with the <br />Mined land Reclamation Divisicn, notice procedures outlined in PULE 2.2 must be <br />follo~.~ed. (Format for such notices will be included in the letter you receive from <br />the MLR Staff informing you of the completeness ("filing") of your application. <br />ADDITIONAL INFORMATION <br />This space can be referenced for further information of any of the items in this form. <br />To the best of my knowledge, all the information pres <br />true and correct. /~j <br />- B Y /// <br />TITLE <br />n pKis_application is <br />(Siynature by individual leoally authorized to bind <br />the operator to this application,) <br />.. <br />yy ..'M1:i.:.' <br />