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<br />712 Permit Application (C,o~) <br />MAPS & E:~7IIBITS <br />n <br />LJ <br />With each of the five (5) copies of the application Form, [he aoplicant must submit a <br />corresponding set of the maps and exhibits outlined in Rule 2, as follows: <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />1G. <br />15. <br />16. <br />Exhibit A - Legal description <br />Exhibit B - Inde:< map <br />Exhibit C - Pre-mining S mining plan map(s) of affected lands <br />Exhibit D - tfining plan <br />Exhibit E - Reclamation plan <br />Exhibit F - Reclamation plan map <br />Exhibit C - Water information <br />Exhibit H - Wildlife information <br />Exhibit I - Soils information <br />Exhibit J - Vegetation information <br />Exhibit K - Climate <br />Exhibit L - Reclamation Costs <br />Exhibit M - Local government approval <br />Exhibit N - Other permits or licenses <br />Exhibit 0 - Source of legal right to enter <br />Exhibit P - Owners of record of surface b <br />-2- <br /> <br />subsurface rights. <br />NOTICE PROCEDURES <br />After the application has been filed with the Division, notice procedures outlined in <br />Rule 2.2 must be followed. <br />ADDITI0:3AL INEORPfATION <br />This space can be referenced for further information of any of the items on this form. <br />Exhibit II - Po~aer of Attornev <br />r. <br />To the best of my knowledge, all the information presente 'this a placation is true and <br />correct. <br />`D:~ M. Pem ridge <br />r <br />v(Manager, Plateau operations <br />TITLE: <br />(Signature by individual legally authorized <br />to bind the operator to this application.) <br /> <br />.~ <br />~~ <br />