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<br />z <br />6. Owner(s) of record of affected Land -~~ ~r~~^7 $*hJ <br />(surface area) (If more than 2, list below) ~ j~~" 't `~ ~~ <br />~ ~~'--•~e_~ <br />7. Owner(s) of substance to be mined ~~ ~i 3 ~~~ <br />(If more than 2, list below) /~'y~l~"i~ <br />,r- <br />8. Source of legal right to enter -y}- <br />(Indicate what type of proof is ~U d~+/fiz'~ ~-f'~~"' <br />included in EXHIBIT C - lease, <br />deed, notarized Letter, etc.) <br />9. Type of mine 6 substance to be mined _p <br />(Specify underground, open pit, ~j~~ ~`¢ ~~ ~tp__,(r{~ <br />quarry, etc. & substance(s) to <br />be mined) <br />I0. General Location 6 elevation ~6~t"!/ <br />r'`~' ~~ <br />N <br />/~ <br />(bfiles 6 direction from nearest ~~Ji~S - <br />4, <br />t 3 <br />C J <br />town & approximate site elevation) ~~u ~ Q6 ~ L.~ <br />11. County ~//~ <br />12. Acreage of affected Lands <br />(Total surface acreage to be ~/~L~/LLcY' <br />included in perndt) <br />13. Application fee (See applicable ~~~ <br />RULE to determine amount) <br />19. Present land use (i.e., agri- <br />cultural, industrial, etc.)~~~ 2 ~~> 9 <br />I5. Proposed future land use ~ J/~~ j~U yi~ ~ ~ <br />(Goal of reclamation) /JJ / ~/y- / <br />LS%~ GK. ~ 7 Cam„ 7.//J ~/' <br />EXHIBIT R - Legal Description <br />The Zega1 description must identify the affected land and be wholly adequate for field <br />location of the property. It can be in the form of metes 6 bounds survey or a descrip- <br />tion by reference to township, range, and section, to at least the nearest quarter- <br />quarter section. Where applicable, the street address or lot number(s) may be used. <br />EXHIBIT B - Pfi Wing Plan <br />This can be a general discussion of the methods, equipment, phases or stages of the <br />operation and those areas of land affected by each. The plan should be correlated with <br />the map and should show where extraction will begin, and which direction, if any, it <br />will proceed. <br />