REV02610

• Permit No: M1979097
• IBM Index Class Name: Revision
• Doc Date: 3/5/1980
• Doc Name: Amendment Application
• From: Flatiron
• To: DMG
• Type & Sequence: HR1
• Media Type: D
• Archive: No

112 Pern.i[ Appl lrntlon (Con['d.)
HA.°S d EXIII BIT$
With each of the five (5) copies of [he application form, the applicant must submit a
correspond ing see of [I,e maps and exhibits outlined in Rule 2, as fol loos:
1. Exhlb![ A - Legel destrlp [!on
2. Exhib l[ B - Index map
3. ' Exhlb it C - Pre-min Sng b mining plan map(s) of affected la~ids
4. Exh lb it D - :fining plan
5. Exh Sb it E - Reclamation plan
6. Exhibit F - P.e clama[iort plan map
7. Exhibit C - l~a ter Snformae ion
B. Exhibit H - Nildl ifs inforna[Son
9. Exhibit I - So Sls information
10. Exhibit J - Vegetation Snforma CSon
11. Exhib l[ K - C1 Lca [e
12. Exhibit L - Reclamation Cos [s
13. Exhlb i[ H - Local government approval
16. Exhibit N - Other oe rmits or licensee
15. Exhibit 0 - Source of legal right [o enter
16. Exhibit P - Owners of record of surface d subsurface rights.
NOTICE PROCEDDRES
Alter the appl icatinn has been filed with the Division, notice procedures outlined in
Buie 2.2 must be followed.
ADDITIONAL It7FORHATION
This space cen be referenced for further information of any of the items on this form.
_2_
To the best of my knowledge, all the Snformat ion presented in this application is true and
correct.
TITLE: Chairman of the Board
(Signature by individual legally authorized
to bind the operator to this application.)