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112 'Perri c :.ool scat ion ~conc d.I , <br />19..'The lands herein do not affect any of <br />the lands described in Section 115(4)(f) <br />of the Mined Land Reclamation Act. <br />(Specify affirmaCion) <br />Not Affected <br /> <br />~~ HAPS E EXHIBi.TS <br />With each of the five (5) copies pf the application form, the applicant must submit <br />a corresponding set of the maps and exhibits outlined in RULE 2, as follows: , <br />1. EXHIBIT A - Legal description <br />2. (EXHIBIT B - Index map ', <br />3. EXHIBIT .C -.Pre-mining E mining plan map.(s) of affected lands <br />4. EXHIBIT D - Hining plan <br />5. EXHIBIT E - Reclamation plan <br />6. EXHIBIT F - Reclamation plan map <br />7. EXHIBIT G - Water information <br />8. EXH181T H - Wildlife information <br />9. EXHIBIT I - Soils information <br />10. EXHIBIT J - Vegetation information <br />' 11. EXHIBIT K - Climate <br />12. EXHIBIT L - Reclamation 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 EXHIBITS. <br />_ This was not a deletion by the Mined Land Reclamation Board; the <br />_ data required from these EXHIBITS was merely transferred to a new <br />section in the Regulations (RULE 9, p. 46). Subsequent .issues of the <br />Regulations will reflect the omission of proper cross-referencing in <br />this regard. Please include, in your permit application, EXHIBITS ~ . <br />M, N, 0, as required by RULE 9.1(1), (2) and (3). <br />13. EXHIBIT M - Local government approval ) See RULE 9.1(1) <br />14. EXHIBIT N - Other permits or licenses ) 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 of surface and subsurface rights.. <br />_~ i. NOTICE PROCEDURES <br />' i <br />... <br />kfter the application is considered "filed" (pursuant to RULE 1.1(10) with the <br />Mined Land Reclamation Division, notice procedures outlined in RULE 2.2 must be <br />followed. (Format for such notices will be included in the letter you receive from <br />the HLR Staff informing you of the completeness ("filing") of your application. <br />ADDITIONAL INFORMATION <br />This space can be referenced for further information of any of the items in this form. <br />To the best of my knowledge, all the information presented in this application is <br />true and correct. Op /yam <br />BY i/~(l' <br />TITLE Edward J. Settle P.E. <br />(Signature by individual legally authorized to bins <br />"~- the operator to this application.) <br />