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<br />112 Perr:it Applicnt:.on (Cnnt'r..) <br />• iLiPS & E:gilRi'TS <br />With each of t`.:~ fi.ve (5} c~~ies of tote ~nplication form, tl~e applicant niu~tt auhmit a <br />corresponding se*_ of ttie mans and •_~:hibits outlined; in Rule 2, as Lollows: <br />1. Exhibit A - Legal de;crip:ion <br />2. Exhibit B - Index map <br />3. Exhibit C - Pre-mini:;g S mining clan map (s} of affected lands ~,~~Y~4a=~~ ~ ('41"' <br />4. Exhibit D - H.ining p'_au ~Vl~y=3~~~~4AL <br />5. Exhibit E - P,ec12©atio-t ;:?a:'. U4JiVfJi.)i\i~~IAL <br />6. Exhibit F - Reclamatio:t :>lan rap ~'~~~~~9.%i.;:~j'~ ~y!tL <br />7. Exhibit C - Uater infur~~stion <br />8. Exhibit H - Wildlife Information <br />9. Exhibit I - Soils information <br />10. Exhibit J - Vegetation information <br />11. Exhibit R - Cliaate <br />12. Exhibit L - Reclamation Costa .~'.C~i~,i~~L~iv~jAL <br />13. Exhibit M - Local govern.•~ent approval <br />14. Exhibit N - Other permits or licensee <br />15. Exhibit 0 - Source of legal right to enter <br />16. Exhibit P - Owners of record of surface b aubeurface rights. <br />NOTICE PROCEDURES <br />A•r the application. hea been flied with tl~e Division, notice procedures outlined in <br />Rules 2.2 must be followed. <br />AI?lli'ii0:74L INFORMATION <br />-2- <br />This apace can be referenced for further information of any of the items on this form. <br />A photocopy of this signed application shall be valid as the original <br />without the necessity o£ an original signature hereon. <br />-- <br />To the best cf my knowledge, sll +::~e in_`o~ation presented in thla application is true and <br />correct. <br />CASTLE CONCRETE CON+PANY, <br />gY• A Colo Corporation <br />?iTLE:~. <br />C-H. at ev, Vice sident and <br />(Signa~ure rbylin~v~c~g~l leeall; authorized <br />to bind the operator to thin application.) <br />