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112 P~r,ic Apclica*_icn (cunt'..) <br />1~. The lards herein do not affect am! of <br />th_ lands described 'r~ Secticn 115ib)~f) <br />of t:~e .Mined Lana Reclamation Act. <br />(Soecifv a'firraticn) <br />~wAPS S EYHIoITS <br />'dith each of the five (5) conies of the aoplica*_icn form, the apclicant ,rust subr,it <br />a correspcnding sat of the raps and exhibits outlined in RULE 2, as fellows: <br />1. EXHIBIT .4 - Legal description <br />?. E:{H131T 3 - Index man <br />j. EXH131T C - Pre-mining S mining plan man(s) 'of affected lands <br />4. EXHIBIT D - )lining ?Ian <br />5. E:{H191T E - Recla,raticn plan <br />o. °_:{HINT r - Reclamation plan map <br />7. EXH191T G - 'dater information <br />3. EXHIBIT H - 'dildlife information <br />E;{HIBIT t - Soils information <br />10. EXHIBIT J - Vegetation information <br />11. ~~~~~~~X7FRkR~RiR9 <br />1?. EXH131T L - Reclamation Costs <br />NB: Concerninc the next three EXHIBITS H, 4, 0: plezse rote that the <br />July 1°ia editicn of the Rules and Reculatior.s emits these EHIBITS. <br />This was nct a deletion by the Mined Land Reclamation Board; the <br />data ro~uired frcm the<e EXH131T5 was r-erely trans`err.d to a ^e~.a <br />_ section in the Reculaticns (RUL°_ ?, ?. 40). Subsecuent issues of the <br />Regulations will reflect the omission of proper :Toss-referencinc in <br />_ this re-,a rd. Please include, in your eermit application, EXHIBITS <br />~~, N, O, as required by RULE 9.1(1), (2) and (j). <br />j. EXHIBIT ~ti - Local Government approval ) See .;UL°_ ?.1(1) <br />14. EXHIBIT 4 - Other cernits ar licenses ) See RULE 9.1(=) <br />15. EXH191T 0 - Source of legal right to enter ) See .RULE 9.1(3) <br />lo. EXH181T P - Owners of record of surface and subsurface right;. <br />NOTICE PROCEDURES <br />?.f ter the application is considered "filed" (pursuant to RUL: I.1(1G) ~,vith *.he <br />>tined Land Reclamation Division, notice procedures outlined in RULE 2.2 must be <br />followed. (Forrat for such notices Nill Se included in the letter you receive frcm <br />the .MLR St_ff informing •/ou of the completeness ("filing") of your application. <br />ACDITIONAL INfVRHA.TION <br />This space can be referenced for further information of any of the items in this form. <br />To the best of my <nowledge, all the information ?resented in this application is <br />true and correct. //~~ //~~ R~~~ /~/ <br />9Y _i ~.P!'z.s.~l.~~or75.lf~i. <br />TITLE <br />(Sicnature by individual le?ally authorized to `Ind <br />the operator to this application.) <br />