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<br />19. The lands herein do not affect any of <br />the lands described in Section 115(4)(f) <br />of the !lined Land Reclamation Act. <br />_ _ (Soecify_aFfirmation) <br />These subject mined lands do not affect <br />any of the land described in Section <br />115 (4) f. <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 />• <br />1. EXHfBIT A - Legal description <br />2. EXHIBIT 8 - Index map <br />3. EXH131T C - Pre mining b mining plan map(s) of af`ected lands <br />4. EXHIBIT D - Mining plan. <br />5. E:!HIBIT ~ - Declamation plan <br />6. EXHIBIT F - Reclamation plan map <br />7. EXHIBIT G - Water information <br />8. E:<HiBIT H - 'dildlife information <br />9. E:CHIBIT I - Soils information <br />)0. E:tHIBIT J - Vegetation information <br />11, EXHIBIT K - Climate <br />IZ. EXHIBIT L - Reclamaticn 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 E;<HIBITS. <br />~_ This was not a deletion by the Mined Land Reclamation Board; the <br />data required from these E;tHIBITS :•~as merely transFerred to a ne~.+ <br />_ s'action in [he Pegulations (RULE °, p. 46). Subsequent issues of the <br />_ Regulations will reflect the omission of proper cross-referencing in <br />_ this regard. Please include, in ycur permit application, EXHIBITS <br />M, N, 0, as required by RULE 9.1(1), (2) and (3)• <br />13. EXHIBIT i1 - Local government approval ) See RULE 9.1(1} <br />14, EXHIBIT ?J - Other permits or licenses None See RULE 9.1(2) <br />15, EXHIBIT 0 - Source of legal right to enter ) See RULE 9.1(3) <br />16, EXHIBIT P - Owners of record or- surface and subsurface rights. <br />J.H. Lionelle---Dept. of the Interior (B.L.M.) <br />See Exhibit 'C', <br />HOTICE PROCF.DUP,ES <br />After the application is considered "filed" (pursuant to RULE 1.1(10} ~•~ith the <br />Mined Land Reclamation Division, notice procedures outlined in RULE 2.2 must be <br />tollcwed. (Format for such notices will be included in the letter you receive from <br />the F1LR Staff informing you of the completeness ("filing") of your application. <br />ADDITIONAL IPIFOR?IPTIG`J <br />This space can be referenced for further information of any of the items in this form. <br /> <br />To the best of my knowledge, all the information <br />true and correct. <br />BY <br />TI <br />application is <br />(Signature by individual legally authorized to bind <br />the operator to this application.) <br />