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FROM ~ FRX N0. 1719(3464975 Rug. 22 2007 09:14RM P2 <br />-d- <br />12. Yriroarv C~Nre ( ost-11'm7eC) lead mee fe4~_~: <br />CeoDlacd(~) ~ pyg~~d(pl,) ~ Crencral Agicultute(GA) <br />,. R~gehtnd(RL) .~ Forestry(FR) ~ Weldlife Ifabirat(WL) <br />~ Residemial(I23) Rural _. kecraati~C) _._ IndustriaVCotnmeteial(1C) <br />DevebpedWaterltesources(WR) ~.. SofidWasueI)isposal(WII) <br />13. Pritttarv tereseat~x~oee (cheek Deal: <br />_.. Cmplmd(CR) ____ Pasuueiand(Pl.) ..^ Cameral Agricnlaoe(GA) <br />% Raageland(12I.) .^ Foreshy(X'it) ~ QVddlife Ftabitat(WL) <br />~. Rrsidptlia>(RS) , Racreation(RC} .,_ Ind~cial(IG7 <br />..,_ Developed Water Resoarees (WR) _ (~'A <br />14. ifthieapetxtiwtwilltesedtsigv:erede6aaxals,orariDtesdkorpreseetlyhasacidtwinedranaage-yon ea usethisopplicstiam <br />font. Yaw naret sobnuteilher a i lOd or 1124 application farm for L>esigmted Mmi~ Opuatiotu. in either case, yore emtst Iist <br />~y ac~ic or toxic-formiteg materials, exposed or disturbed as a result of the coring operation, and whether the operation will <br />ersnlt in orpresentty has acidmia dram <br />Operation will not result in acid mine drainage. No acid ar toxic <br />forming materials will be exposed or disturbed as a result of mining. <br />IS. ~riptian of Ali or Conversing: <br />If yart are aarcodiag or csutvrertiug an existing opseation, provide a brief na[tarive describing the proposed change(s): <br />o app ica le. <br />~_ <br />Ma-_ps & Exhihiic <br />Submit two (2) carnplete, tmbouad copies of fire followitlg appliption exhibits: <br />63.1 E?Q-IID1T A -Legal Dapription weed I.ocatiast Map <br />63.2 P:fCt31131T 13 - Sito Drscriptiam <br />6.33 FJZ1119Tf C -Mining Platt <br />6.3.4 E7CH1$l'I' D - Reciatiration Plan <br />63.5 EXkI1HTf E -Maps, to ittclude the bcation of any recorded e8setgecds <br />6.3.6 b7(Ti[BTT R -List of other Pamirs and Licenses Rcgttned <br />63.7 E7rHIB1T G - Somax of Jxgal Right-to-Fatter <br />63.8 E)tiIlA1T ll - Mmticipabtiea Within aTwo-terile Radios <br />6.3.9 EXEIIBTI' 1- Proof of Filing whh Cotmry Clerk <br />6.3.10 FJOIINIT J - Proof ofMat7m' g Notices of Pemtit Application <br />6.3.12 E7CHl&iT L - Permmtalt Mmt-M~e Shtectures <br />1.6.2(] xb) ADUENDTJM I -Notice Rapl~ents (satr~le egcle~ <br />6.5 Ceofechnieal Stability l~chibit (as requirexl} <br /> <br />(Revised 8/21/07) <br />