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117 Pi Heft Apylicntt~~t (CnnC~) • <br />1'lllhJ .j }„}IJIlf7S <br />411th each of the five (5) r_opics of the ;pplleation form, Chr_ applicant rcu:at submit a <br />corrosponding srt ~~f Che raaps and exhibits onClined in Rule_ 2, ns Colln:~s: <br />1. E;:hibit A - i.cgal description <br />2. E~:hiblt B - 7nder: m„p <br />{. Exhibit C -Pre-mining b mining plan map(s) of affected Lends <br />4. F,xhiblt D - tfiniug p7.an <br />'i.- F.rhibit E - P.eclr;;oation plan <br />G.- F.xhibi.t F - P.er:.tamation plan map <br />i. Exhibit G - 6'ater information <br />3. F.rhibit H - k'ild=.ife infot-catien <br />9. Exhibit I -Soils information <br />10. E>:hi.bit J - VPf;ecation inforr:.;=tion <br />11. E;;hibit K - C1Cmate <br />17.. Exhibit L - F.eclamaCi.on Costs <br />13. Exhibit M -Local ~overna:ent approval <br />14. Exhibit N - Other permits or licenses <br />15. Exhibit 0 - Source of legal right Lo enter <br />16. Exhibti.t Y - o-~aers of record of surface 5 suhaurface~rigliL-s, t <br />;;G'iiCE PROCEDURES <br />After the application. has been filed with the Divtaion, notice procedures outlined in <br />It~~le 2.2 must be followed. <br />:1ll1)I'iI0~7A.L It7) OP,FL1'I'ION <br />This space can be re1.`erenced for further inforoiation of any of the items on this form. <br />To the beat of my knowledge, all the inforoation present in thi plication ie Crue and <br />correct. <br />' BY: _~~ <br />TITLE: <br />(Signature by individual legally authorized <br />to bind the operator to this application.) <br />• <br />