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1_12 Permit ~ylicntien ((~'d_) <br /> <br />AfAPS d }'X!IIIiLTS <br />. -2- <br />47ith each of the fi-ve (5) copies of the application form, the applicant must submit"a <br />corresponding set of the maps and exhibits outlined in Rule 2, as foLloas: <br />1. Exhibit A - Legal description <br />2. Exhibit $ - Index map <br />"t. ExhiM.t G - Pre-mining S mining plan map(s) of affected lands <br />4. Exhibit D - 29ining plan <br />5. Exhibit E - P.eclamation ylan <br />G.- Exhibit F - Reclamation plan wap <br />7. Exhibit G - Llater information <br />3. Exhibit H - Wildlife information <br />9. Exhibit I - Soils information <br />10. Er:hib.it J - Vegetation information <br />11. Exhibit K - C11R.ate <br />12. Exhibit L - Reclamation Costs <br />13. Exhibit M - Local government approval <br />14. Exhibit N - Ot.he~r permits or licenses <br />15. Exhibit 0 - Source of legal right to enter <br />16. Exhibfit i' - Ocm ers of record of surface b subsurface righie. <br /> NOTICE PROCEDURES <br />:ztr. <br />After the application has been filed with the Division, notice procedures outlined in <br />Rule 2.2 must be followed. <br />ADDITIONAL INFORMATION <br />This space can be referenced for further information of any of the items on this form. <br />To the beet of my knowledge, all the inforc~a[ion present in th pllcation ie true and <br />" correct. <br />- $Y: <br />TITLE: <br />(Signature by individual legally authorized <br />to bind the operator to this application.) <br />