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11 � r^; t A-,placation (cant ' d.) <br /> 19. The lands herein do not affect any of Lands do not affect Section 115(4) (f) <br /> the lands described In Section 115(4) (f) <br /> of the Mined Land Reclamation Act. <br /> (Specify affirmation) <br /> MAPS 6 EXHIBITS <br /> With 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 mad <br /> 3. EXHIBIT C - Pre-mining 6 mining plan map(s) of affected lands <br /> 4. EXHIBIT D - Mining plan <br /> 5. EXHIBIT E - Reclamation plan - <br /> 6. EXHIBIT F_- Recl-amatlon _pi.an map,- ---- <br /> 7. EXHIBIT A =Water—information <br /> 8. EXHIBIT H - Wildlife information <br /> 9. EXHIBIT I - Soils Information <br /> 10. EXHIBIT J - Vegetation Information <br /> II . EXHIBIT K - Climate <br /> 12. EXHIBIT L - Reclamation Costs <br /> NB: Concerning the next three EXHIBITS M, N, 0: please rote that the <br /> _ July 1978 edition of the Rules and Regulations emits 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 government approval ) See RULE 9.10) <br /> 14. EXHIBIT N - Other permits or licenses ) See RULE 9. 1 (2) <br /> 15. EXHIBIT 0 - Source of legal right to enter ) Sae RULE 9. 1 (3) <br /> 16. EXHIBIT P - Owners of record of surface and subsurface rights. <br /> NOTICE PROCEDURES <br /> After the application Is considered "filed" (pursuant to RULE I : I (10) with 'the ' <br /> Mined Land Reclamation Division , notice procedures outiindd..in RULE 2.2 must be <br /> followed. (Format for such notices will be Included-in the utter you receive from <br /> the MLR Staff *forming you of the completeness ("filing") .of- your application. <br /> ADDITIONAL INFORMATION <br /> r <br /> This space can be referenced for further information of any of the 1taft in this form. <br /> To the best of my knowledge, all the Information presented i his appllcat n. is <br /> true and correct. . <br /> By <br /> Frank M. Graham Jr., Authorized Agent for <br /> TITLE Western Pa vino Construction Co- <br /> (Signature by individual legally authorized to bind <br /> the operator to this application.) <br />