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112 Permit App'_icarion (Co:tt~) ~ -2_ <br />'L',PS S EiaiInITS • <br />i <br />With each of the Five (5) copizs of the application Form, the applicant must submit a •' <br />correspondire set of the maps and exhibits outlined in Rule 2, as Follows: <br />1. Exhibit A - Legal dcscripticn • <br />2. Exhibit B - Index man <br />3. Exhibit C - Pre-mining S minim plan man(s) of affected lands <br />4. Exhibit D - Pflnini; plan <br />5. Exhibit E - Reclamation plan <br />6. Exhibit F - Rec_lac~ation plan mao <br />7. Exhibit G - Water information <br />8. E:,hibit H - Wildlife infot-ration <br />9. Exhibit I - Soils information <br />10. Exhibit J - Vegetation intorr..ation <br />11. E:;hibit K - Climate <br />12. Exhibit L - keclamation 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. Exhibit P - Owners of record of surface b subsurface rights. <br />NOTICE PROCEDJRES <br />After the application has been filed with the Division, notice procedures outlined in <br />Rule 2.2 must be followed. <br />ADCITIONAL INFORPLaTION <br />This space can be referenced For further information of any of the items on this form. <br />- - _ `i <br />To the best of my knowledvz, all the. information presented in this application is true <br />correct. _ <br />BY: - <br />TITLE: r. .a~.+~I <br />i ,. _=/i <br />!Signature by individual legally e:,ithorized <br />to bind the onera[or to this application.) <br />