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112 Pernit Aoplica[ion (con['d.) <br />19. The lands herein do no[ a ZCE any of <br />the lands described in Section li5(4)(f) <br />of the Mined Land Reclamation Act. <br />(Specif.~ affirmation) <br />The lan. herd described do not <br />affect any of the lands described <br />in Section 1.56(8). <br />MAPS 6 EXHIBITS <br />'dith each of the five (5) copies of 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-mininy b mining plan map(s) of affected lands <br />4. EXHIBIT D - Mining plan <br />5• EXHIBIT E - Reclamation plan <br />6. EXHIBIT F - Reclamation plan map <br />7. EXHIBIT G - Water information <br />8. EXHIBIT 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: plzase note that [he <br />_ July 1978 edition of the Rules and Regulations omits these EXHIBITS. <br />_ This was not a deletion by [he Mined Land Reclamation board; the <br />~- data required from these EXHIBITS was merely transferred to a ne•:~ <br />section in the Regulations (RULE 9, p. 46). Subsequent issues of t.`~e <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 ) Sez PULE 9.1(2) <br />15. E:(HIBIT 0 - Source of legal right to enter ) See RULE 9•I(3) <br />15. EXHIBIT P - Owners of record of surface and subsurface rights. <br />NOTICE PROCEDURES <br />After the application is considered "filed" (pursuant [o 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 recede fr:m <br />the MLR Staff informing you of the completeness ("filing") of your application. <br />ADDITIONAL INFORMATION <br />This space can be referenced for further information of any cf the items in this `.~~- <br />To the best of my ;cnowledge, all [he information presented in this application is <br />true and correct. By ~~ ~~~ ~p ~~ <br />TITLE n~/rJE2 __ <br />(Signature by individual legally authorized to bind <br />the operator to this apclication.) <br />i <br />