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112 Permit Application (cones.) <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 /> <br />1`io affect on described lands <br />MAPS & 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 E 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: Concerning the next three EXHIBITS M, N, 0: please note that the <br />July 1978 edition of the Rules and Regulations omits these EXHIBITS. <br />_ This was not a deletion by the Mined Land Reclamation Board; the <br />data required from these EXHIBITS o-~as merely transferred to a new <br />section in the Regulations (RULE 9, p. 46). Subsequent issues of the <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 />l;. EXHIBIT M - Local government approval ) See RULE 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 ) See RULE 9.1(3) <br />15. 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 Division, notice procedures outlined in RULE 2.2 must be <br />followed. (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 /> <br /> <br />To the best of my knowledge, all the information presented in this application is <br />true and correct. ~ / ('~ G~_~^~/ ~ / <br />BY V ~1.J ~,p,~,/(/ <br />TITLE VALCO/ Gunnison Concrete Division ('onsul am <br />(Signature by individual legally authorized to bind <br />the operator to this application.) <br />