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<br />19. The lands herein do not affect any of <br />[he 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 exhibits outlined in RULE 2, as follows: <br />• <br />1. EXHIBIT A - Legal description <br />2. EXHIBIT B - Index map <br />3• EXH131T C - Pre-mining E mining plan map(s) of affected lands <br />4. EXHIBIT D - Mining plan <br />5• EXHIBIT E - Declamation plan <br />6. EXH131T F - Reclamation plan map <br />7. EXHIBIT G - Water information <br />8. c:(HIBIT H - Wildlife information <br />9. E;(HIBIT I - Soils information <br />10. EXHIBIT J - Vegetation information <br />11. EXHIBIT K - Climate <br />12. EXHIBIT L - Reclamation Costs <br />ti8: Concerning the next three EXHIBITS M, N, 0: please note that the <br />_ July 1978 edition of the Rules and Regulations omits t~~ese EXHIBITS. <br />_ This was not a deletion by the `!fined Land ?,eclamation Board; the <br />_ data required from these EXHIBITS .vas merely transferred to a neri <br />section in the Pegulations (RULE ?, p. 46). Subsequent issues of the <br />Regulations will reflect the omission of proper cross-referencing in <br />_ this regard. Please include, in your permit application, EXHIBITS <br />M, N, 0, as required by RULE 9.1(1), (2) and (3). <br />13. EXHIBIT t1 - Local government approval ) See RULE 9.1(1) <br />14. EX11iDIT .I - Other permits or licenses None ) See R'JLE 9.1(2) <br />15• E;<HIBIT 0 - Source of legal right to enter ) See RU!E 9.1(3) <br />16. 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 PROCF.DUP,ES <br />After the application is considered "filed" (pursuant to RULE 1.1(10) ~•~ith the <br />Mined Land Reclamation Division, notice procedures outlined in RULE 2.2 must be <br />follc~~ed. (Format for such notices will be included in the letter you receive from <br />the MLR Staff informing you of the cor..pleteness ("filing") of your application. <br />ADDITIONAL IPGOR?t~TlOtl <br />This space can be referenced for further information of any of the items in this form. <br /> <br />To the best of my knowledge, all the information ores n ed in i application is <br />true and correct. ,G~ <br />B Y ~ .c _ tti J <br />TI <br />(Signature by individual legally authorized to bind <br />the operator to this application.) <br />