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112 Pr•r~vtift A1~1rI Tr:rCTorr_ (Crnit~ <br />J9APS 6 Ei;H] 1; 1'I'S <br />• <br />41ith each of the five (5) copies of the appli.catton f.nL~n, the applicant must submit a <br />corresponcii.ng set of Lhe maps and cahiblts outlined i.n R.n:1e 2, .ts Eollowu: <br />1. Exhibit A - hegal description <br />7. E::1ri.bit B - Index map <br />'I. Exhibit C - Pre-mining & minir.;; plan map(s) of affected J.ands <br />4. Exhibit D - 14ining plan <br /> Exhibit E - Fccla:naCion plan <br />`~.- Exhibi.t F - Reclamation plan map <br />/. Exhibit G - {'stet information <br />a. E:•:hibit H - Wildlife infoi~naCion <br />9. Exhibit I - Soils info nnation <br />).0. Exhibit J - Vegel:ation information <br />l.l. Exhibit K - C17.mnte <br />12. Exhibit L - Reclamation CosCs <br />]3. Exhibit bf - Loca:L government eppr.oval <br />14. Exhibit N - Other permits or licenses <br />15, Exhibit 0 - Sour~:e of legal right to enter <br />16. Exhiblit ? - 0:nzers of record of surface 6 subsurface riglita. <br />i;G'PiCE P;:OCF.DUFES <br />After the application has been filed eaith the Division, notice procedures outlined in <br />?t~~le 2.2 must be follo~,ed. <br />ADDITIO'7nL INFO?U•LITION <br />'this space can be r'ef'erenced for further information o£ any of the items on this form. <br />2- <br />To the beat of my knowleds;e, all the inforoation present in th ~ placation is true and <br />correct. • <br />$Y: ..~' .fir-~~!/~-__~ <br />TITLE: <br />(Signature by individual legally authorized <br />to bind the operator to this application.) <br />• <br />