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112 Permit APpllcati~n ((~'d.) • _p_ <br />A1APS & EXLIIISIT <br />With each of the five (5) copies of the application form, the applicant must submit a <br />corresponding set of tl:e maps and exhibits outlined in Rule 2, as follows: <br />1. Exhibit A - Legal description <br />2, Exhibit E - Index map <br />:1. Exhibit C - Pre-mining b mining plan map(s) of affected lands <br />4, Exhibit D - Mf.ni.ng plan <br />5. Exhibit E - Reclamation plan <br />L~.- Exhibit F - Reclamation plan map <br />7. Exhibit G - Waiter information <br />B, Exhibit H - W:llcllife information <br />9, Exhibit I - Soi:Ls information <br />10, Exhibit J - Veg~station information <br />11, Exhibit K - C:Liinate <br />12, Exhibit L - Reclamation Costs <br />13. Exhibit M - Local government approval <br />14, Exhibit N - Other permits or licenses <br />15. Exhibit 0 - Source of legal right to enter <br />16, Exhiibit' P - Owners of record of surface S subsurface rights. <br />NOTICE PRClC13DL1RES <br />After the applicat.ian has been filed with the Division, notice procedures outlined in <br />Rule 2.2 must be f'ol.lowed. <br />ADDITIONAL :CNFORMATION <br />This space can be referenced for further information of any of the items on this form. <br />To the hest of my knowledge, all the information present in th placation is true and <br />correct. ~~~~ ~/ <br />BY: -U~~, <br />TITLE: <br />(Signature by individual legally authorized <br />to bind the operator to this application.) <br />