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-#12 Permit Application (cor.t'd.l • <br />.~ <br />19. The lands herein do not affect any of <br />the lands described in Section 115(~)(f) <br />of the Mined Land Reclamaticn Act. <br />(Specify affirmation) <br />w <br />-~ <br />GRAVEI, PITS ARE LOCATID ONLY ON PRSVATELY <br />OWNED FARM & RANCH LAND. <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 6 mining plan moo(s) of affected lands <br />4. EXHIBIT D - Hining plan <br />$. EXHIBIT E - Reclamation plan <br />6. EXHIBIT F - Reclamation plan map <br />7• EXHIBIT G - Water information <br />9. EXH1BlT H - Wildlife information <br />9. EXHIBIT 1 - Soils information <br />10, EXHIBIT J - Vegetation information <br />11. EXHIBIT K - Climate <br />12. EXHIBIT L - Reclamation Costs <br />NB: Concernine_ the next three EXHIBITS M, N, 0: please note that the <br />July 197$ edition of the Rules and Pegulations omits these EXHIBITS. <br />This was not a deletion by the Mined Land Reclamation Board; the <br />data required From these EXH161TS was merely transferred to a ne~.a <br />section in Che Regulations (RULE 9, p. 1+6). Subsequent issues of the <br />Regulations will reflect the omission of proper cross-referencing in <br />_ this regard, Please include, in your oermit aoolication, EXHIBITS <br />M, N, 0, as required by RULE 9.1(1), (2) and (3)• <br />13• EXH161T M - Local government approval ) See RULE 9. 1(I) <br />14. EXHIBIT N - Other permits or licenses ) See RULE 9 .1(2) <br />15. EXH191T O - Source of legal right to enter ) See PULE 9. 1(3) <br />10. EXHIBIT P - Owners of record of surface and subsurface rinhts. <br />NOTICE PP,OCEDURES <br />After the application is considered "filed" (pursuant to RULE I-I{10) with the <br />Mined Land Reclamation Division, notice procedures outlined in PULE 2.2 must be <br />followed. (Format for such notices twill be included in the letter ycu receive frorti <br />the MLR Staff informrna you of the completeness ("filing") of your aoolication. <br />ADDITIONAL ItlFORMATION <br />This space can be referenced for further i,~for::.ation cf any of the i__r,a in this form. <br />To the best of my I:nowledge, all the information presented in this apolic~tien is <br />true and correct. <br />BY <br /> <br />(Sicnature by individual legally authorised to b~r.d <br />the operator to thi=_ application.) <br />