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112 Permit Application (cont'd,) <br />19. 'fhe lands herein do not affect any of <br />the lands described in Section 115(4)(f) <br />of the Mined Land Reclamation Ac[. <br />(Specify affirmation) <br />7 ~ S i I Fes- Lh/JD F+~R-~ ~u Dui s ,mot <br />e'FF ~-Y' A.uy °F t'/Ye ~-'ri'O~ QG'SG City C-*J iN <br />5 ccn°n. (i~S Ca)Cf~ °f +HE rfor ~ _ <br />MAPS E EXH181T5 <br />with each of the five (5) copies of the application form, the applicaht must submit <br />a corresponding set of the maps and exhibits outlined in RULE 2, as follows: <br />1. EXHIBIT A - Legal description 5»~~-r ~ °d s, hex H~/i~T °.~+.~ <br />2. EXHIBIT B - Index map F~~.~r~-a 3 s~~r i°/3 C~r.,.~.r n-.°) <br />3. EXHIBIT C - Pre-mining E mining plan map(s) of affected lands ~x k+3rrs rwo ~rrre-er <br />4. EXHIBIT D - Mining plan ex,4reir~ rwo ....h rrr a-vrs- <br />5. EXHIBIT E - Reclamation plan~z'*~g~n r~o~ nv+~~ <br />6. EXHIBIT F - Reclamation plan map ExH-rerrs rw°d rrfw~ <br />7. EXHIBIT G - Water (nformation ax Mrerr TMRCt ~ ~crY~ic Fir--+ ~A-.+o ou.n.mc anuir.«a..tG <br />8. EXHIBIT H - Wildlife information mz~-~3~-rs -r/.er~T„r~,~-=pta~<Hn.,c~.7 F <br />9• EXHIBIT 1 - Soils information az~-rr~.r -rwo <br />10. EXHIBIT J - Vegetation information ezrr,rsrr r~..~~ <br />i'1':-~'XI+1'~I}~~i-in~vcc- N°T Noun ~B(yU(R-ch <br />12. EXHIBIT L - Reclamation Costs ,:xr+r 3rT-'r'~`~ <br />NB: Concerning [he next three EXHIBITS M, N, 0: please note that the <br />Juiy 1978 edition of the Rules and Regulations omits these EXHIBITS. <br />This was not a deletion by the Mined Land Reclamation Board; the <br />_ data required from these EXHIBITS was merely transferred to a new <br />_ section in the Regulations (RULE 9, p. 46). Subsequent ,issues of the <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 govern men[ approval ) See RULE 9.1(1) <br />11(. EXHIBIT N - Other permits or licenses ) See RULE 9.1(2} <br />15• EXIi191T 0 - Source of legal right to enter } See RULE 9.1(3) <br />16. EXHIBIT P - Owners of record of surface and subsurface rights. <br /> .) Z ~c-N 3 L / C <br />NOTICE PROCEDURES <br />:+~cer the application is considered "filed" (pursuant to RULE 1.1(10) with the <br />Mined Land Declamation Division, notice procedures outlined in RULE 2.2 must be <br />rnllowed. (Format for such notices will be included in the letter you receive from <br />-.`.e MLR Staff informing you of the completeness ("filing") of your application. <br />ADDITIONAL INFORMATION <br />'his space can be referenced for further information of any of the items in this form. <br />To the hest of my knowledge, all the inform n presented in this application is <br />t: ue and correct. By ~'"~~~~~ n <br />TITLE <br />(Signature by individual legally authorized to bind <br />[he operator to this application.) <br />