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<br />19. The lands herein do not affect any of <br />the lands described in Section 115(4)(f) <br />of the Mined Land Reclamation Act. <br />(Soecifv affirmation) <br />These subject mined lands do not affect <br />any of the land described in Section <br />115 (4) f. <br />MAPS ~ EXHIBITS <br />With each of the five (5) copies of the application form, the applicant must submit <br />a corresponding set of the maps and ex!-~ibi[s outlined in RULE 2, as follows: <br />1. EXHIBIT A - Legal description <br />2. EXHIBIT 8 - Index map <br />;. EXH131T C - Pre-mining b mining plan map(s) of affected lands <br />4. EXHIBIT D - Mining plan <br />5• EXHIBIT E - Declamation plan <br />6. EXHIBIT F - Reclamation plan map <br />7. EXHIBIT G - Water information <br />~ 8. E:(HIBIT H - Wildlife information <br />3• E;(HIBIT I - Soils information <br />10. E;(HIBIT J - Vegetation information <br />11. EXHi01T K - Climate <br />12. EXHIBIT L - Reclamation Costs <br />PIB: Concerning the next three EXHIBITS M, N, 0: please note that the <br />July 1978 edition of the Rules and Regulations omits these EXHIBITS. <br />This was not a deletion by the wined Land Reclamation Board; the <br />data required from these EXHIBITS ~.+as merely transferred to a nesa <br />section in the Pegulations (RULE °, p. 46). Subsequent issues of [ne <br />Regulations will reflect the omission of a~oper cress-referencing in <br />this regard. Please include, in your permit application, EXHIBIT5 <br />M, N, 0, as required by RULE 9.1(1), (2) and (31• <br />13. EXHIBIT t1 - Local government approval ) See i?ULe 9.1(1) <br />14. EXIiIBIT N - Other permits or licenses None See PULE 9.1(2) <br />15. EXH181T 0 -.Source of legal right to enter ) See RU!E 9.1!3) <br />10. EXHIBIT P - Owners of record of surface and subsurface rights. <br />J.H. Lionelle---Dept. of the Interior (B.L.M.) <br />See Exhibit 'C'. <br />NOTICE PROCEOUP,ES <br />After the application is considered "filed" (pursuant to RULE 1.1(10) with the <br />Mined Land Reclamation Division, notice procedures outlined in RULE 2.2 must be <br />follca+ed. (Format for such notices will 6e included in the letter you receive from <br />the MLR Staff informing you of the completeness ("Filing") of your application. <br />ADDITIONAL IDIPORNPTICN <br />This space can be referenced for further inFormation of any of the items in this form. <br />• To the best of my knowledge, all the infor tion r~s?n ed in i application is <br />true and correct. <br />BY <br />TI <br />(signature by individual legally authorized to bind <br />the operator,to this application.] <br />i <br />