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112 Pc rmit Ai.l.] 1cn C7un (C~~nl ~) <br />1~fAPS 6 1'.}:!IIIII'I'S <br />u <br />Flith each of the five (5) copies of the npp7.icafL~n form, the applicant must submit a <br />corresponding srt of the maps and ~~ahibits outlined in Rnl.e Z, as Col.low;;: <br />-2- <br />1. Exhibit A - 1,era1 •i~~scri.paion <br />2. Exhibit $ - Index. map <br />3. Exhibit C - Pre-rr.lning S mining plr,n map(s) of aCicr_ted lands <br />4. Exhibit D - tfin.irg plan <br />5. Exhibit G - P,erl:.,~atiun plan <br />G.- Exhibit F - Re~.Icmation plan m;:p <br />7. Exhibit C - Pater information <br />8. Exlri.hit H - h'ildl.ife infor::aion <br />9. Exhibit I - Soil;; information . <br />10. . Exhibit J - Vegetation inforr..ation <br />11. Exhibit K - CLlm,ite <br />12. Exhibit L - P,ecl.~mation Costs <br />13. Exhibit ht - Local goverment .approval - <br />].4. Exhibit N - Other permits or .licenses ,.~k <br />t5. Exhibi.t 0 - Source of legal r:f.ght to enter <br />16. Exhiblit Y - O,.~ners of record of surface 6 subsurface rights. ~ ~ <br />:;OTiCE PROCEDURES <br />After the application. has been filed with the Division, notice procedures outlined '; <br />Pile 2.2 must be followed.. <br />~DllIT10`dAL IP7FOR1GITION <br />This', space can be referenced for further infornv3tion of any of the items on this form. <br />,: <br />To the best of my knowledge, all the information present in th plication ie true and <br />correct. <br />BY: sc, _!/C~ <br />-- <br />TITLE: <br />(Signature by individual legally authorized <br />to bind the operator to this application.) <br />• e <br />