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<br /> <br />. _. _ ~. <br />X112 Permit Applica{'ion (cont'd.) <br />.~ <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 />(Specify affirmation) <br />TRUE <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 />2. EXHIBIT B - Index map <br />3. EXHIBIT C - Pre-mining b mining plan map(s) of affected lands <br />4. EXHIBIT D - Mining plan <br />5. EXHIBIT E - Reclamation plan <br />6. EXHIBIT F - Reclamation plan map <br />7. EXHIBIT G - Water information <br />8. EXHIBIT H - Wildlife information <br />9. EXHIBIT I - Soils information <br />10. EXHIBIT J - Vegetation information <br />11. EXHIBIT K - Climate <br />12. EXHIBIT L - Reclamation Costs <br />NB: Concernine the next three EXHIBITS M, N, 0: please note that the <br />_ July 1978 edition of the Ruies and Regulations omits these EXHIBITS. <br />_ This was not a deletion by the Mined Land Reclamation Board; the <br />_ data required from these EXHIBITS ~:~as merely [ran=_`erred to a new <br />section in the Regulations (RULE e, p. 46). Sub<_equent issues of the <br />_ Regulations will reflect [he omission of proper cress-referencing in <br />_ this regard. Please include, in your permit 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 9. 1(1) <br />14. EXHIBIT N - Other permits or licenses 1 See RULE 9. 1(2) <br />15• EXHIBIT 0 - Source of legal right [o enter ) See RULE 9. i(3) <br />16. EXHIBIT P - Owners of record of surface and subsurface rights. <br />":OTICE PP.OCEOURES <br />After the application is considered "flied" (pursuant to RULE 1.1(10) ~.ai*_h the <br />Mined Land Reclamation Divisicn, notice procedures outlined in RULE 2.2 must be <br />followed. (Format for such no*_ices rill be included in the letter you receive from <br />the h1LR Staff informing you of the completeness ("filing"1 of your application. <br />ADDITIONAL INFOF.MATION <br />This space can be referenced for further information of any of the items in [his form. <br />Te the best of my knowledge, al l the inrorm/a/yt~i~on/Jpresented~~n this apCl ication is <br />true and correct. BY~L//,C~IJI~~r~~~71.G.,~„~ <br />TITL <br />(510nat7re b'; individual locally authorized to bind <br />the cparator [c [~~_ acplication.) <br />