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<br />x-- <br />112 Permit bplieation (ranc'd.) <br />19• Tha lends Mrain dm not affect any of <br />the lands described In Section 119(b)(f) Rfflrmetlve <br />a( the Xlnad Land Reclamation Ac [. <br />IY1P5 t EIIX IBITS <br />Ylth each of the five (9) oaPiea of the appliutl on form, the applicant emat submit <br />• mrreapemdlny set a/ the maps and eshl bi [s wtllned In RULE 2, ea follavs: <br />i. EXXIBIT A - legal description <br />2. EXXIBIT B - Index Np <br />3. E%X1817 C - Pre-mining t mining plan ngp(s) of •ffectad lands <br />M. E%X IB1T D - Xining pion <br />9• EXXIBIT E - Peclametlon plan <br />6. EXXIBIT F - Reclamation plan map ' <br />7. EXXIBIT G - Veter Information <br />8. E11H1BIT N - Vildllfe Information <br />9. EXHIBIT I - Sofis inforwtlan <br />10. EXXIBIT J -Vegetation Informetlw <br />I1. EXHIBIT R - [1lmete ' <br />12. EXHIBIT L - Reclametlen Eoats <br />NB: Conurnfnq the nest Mrae EXHIBITS X, N,. O: plaaas note Lhet the <br />July 1978 edition of Me Rules and Regulations omlto chase EXHIBITS. <br />This vas not a deletion by the Mined Land Recl armtlon Boerd; the <br />_ date required from these EXHIBITS vas merely transferred to • ner <br />_ aectiw In the Regulations (RULE 9, P. 66). fuhaequent Isauaa of the <br />Regul scions v1lt ref fact the oni ss fan of proper crofa-nferenclnq In <br />this regard. Pleaaa Include, in ywr permit appliutltm, EXHIBITS <br />X, N, D, sa regal red by RULE 9.I (I), (2) and ()). <br />1). EXXIBIT M - Loul governmnt approval ) fax RULE 9.1(1) <br />16. EXXIBIT N -Other permits or licenses ) fee RULE 9.1(2) <br />If- EXHIBIT 0 - Source of loyal rl ght to enter ) fns RULE 9.1 (J) <br />lfi. EXHIBIT P - Ovnars of record of surface and subsurface rights. <br />NOTICE PROCEDURES <br />After the applicati on la considered "filed" (pursuant to RULE 1.1(10) vlth the <br />Nlned Land Reclamation Dlvislan, notice procedures outlined in RULE I.2 must be <br />followed. (Format for suM notices vi 11 be Included In the letter you receive from <br />the NL0. Staff Inform ing you of the cpnple[ene as ("f11in9") of your appll utlon. <br />AOOIT IONAL INFORIUTION <br />This sp acs can be referenced (or fu rcher Information of any of the Items In this form. <br />To the bot of m/ knwledge, aft tM info aerated thl pllotlan it <br />true and wrrect. '""T <br />r <br />TITLE r ~ <br />(Signature by Indi rl duel legally authorited to 61nd <br />tM operator to MI• eppliuti on.) <br /> <br /> <br /> <br />1 <br />1 <br />1 <br />1 <br /> <br />1 <br /> <br />1 <br />1 <br /> <br /> <br /> <br /> <br />.' <br />~- <br /> <br /> <br />