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112 Pernit Aoplir~r.icn (cc~-,:'d.) <br />19. The lands herein do not z ect am/ of T'he 1at~. herein described do not. <br />the lands described in Section li5(4)(f) affect any of the lands describe.! <br />of [he Mined Land Reclamation Act. in Section 1.56(1;). <br />(Specify affirmation) <br />MAPS b EXHIBITS <br />'di[h each of the five {5) copies of [he application form, the applicant must sub^It <br />a corresponding set of the maps and e:<hibits outlined in RULE 2, as foliews: <br />1. EXHIBIT A - Legal description <br />2. EXH191T 9 - 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 - ~/egetation information <br />11. EXHIBIT K - Climate <br />12. EXHIBIT L - Reclamation Costs <br />NB: Concerning the next three EXHIBITS M, N, 0: please note that [he <br />Juty 1978 edition of the Rules and Regulations omits these EXHIBITS. <br />~_ This was not a deletion by Clio Mined Land Reclamation board; the <br />_ data required from these EXHIBITS was merely transferred to a ne:~ <br />_ section in the .Regulations (RULE 9, p. 4b). Suhsequer.t issues or "~e <br />Regulations will reflect the omission of proper cross-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 - Locai govern men[ approval ) See RULE 9.i(1) <br />14. EXHIBIT N - Other permits or licenses ) $22 RULE 9.1(2) <br />IS• EXHIBIT 0 - Source of legal right to enter ) See RULE 9.1(3) <br />15. EXHIBIT 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 Division, notice procedures outlined in RULE 2.2 must be <br />followed. {Format for such notices will be included in the letter you recei ~e fr~n <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 Chi; `o rT <br />To [he best of my knowledge, all the information ?resented in this application is <br />[rue and correct. By ~~ ~~~ ~n ~~ <br />TITLE !>~/r~l~ fL <br />(Signature by individual legally authorized *.o bind <br />the operator to [his apolication.) <br />~' - -~ <br /> <br />.-. ~ _ <br />~, -' <br />