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<br />T <br />• <br />-2 <br />9. Source of Legal Right-to-Enter <br />(indicate what type of proof is I Affidavit of ownershi, <br />included in EXHIBIT 0) See <br />Rule 34-32-112(2)(d) <br />10. Type of Mine and Substance to O en it old lacer an ravel <br />be Mined (specify underground, <br />open pit, quarry, etc. and ` <br />substance(s) to be mined <br />11. General Location and Elevation <br />(miles and direction from ~ Ad ~acent A ma 4 f <br />nearest town and approximate <br />site elevation <br />12. County Park County <br />13a Total Surface Acreage to be <br />Included in Permit (Rule 1.1(2)) 160 acres <br />13b Total Acreage of Affected Lands <br />(Rule 2.11(14)) <br />129.6 acres <br />14. Application Fee (see Rule 2 to <br />determine amount, based on <br />permitted area) <br />$1560 i <br />15. Present Land Use (i.e., <br />agricultural, industrial, etc.) <br />Post Mining, unreclaime <br />16. Surrounding Land Uses Rangeland, residential <br />17. Proposed Future Land Use (final <br />use after reclamation) Historic post-mining <br />Limited wildlife habitat <br />18. List Mining Operations Currently None <br />In Violation of the Act. (See <br />34-32-120) ' <br />19. The Lands Herein Do Not Affect Section 115 4 f lan s not affected <br />any of the Lands Described in <br />Section 115(4)(f) of the Mined <br />Land Reclamation Act. (specify <br />affirmation) <br /> <br />