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110 Pemit Application (cnnt'd) INSTRUCTIO?7S: This appllcaclon and all accompanying mater] als must 6e submitted in duplicate. In the late rests of efficient prncesslns, plcasa 1.-,elude the fJllowine inf orW.- r .,,~~ Li ~i tcd -- - Opcr_t'_c.._ _c_ ..°.L''E 3 for guidance; Spec1a1V10-day Permits, see RULE-S for guidance. r EXHIBIT A - Legal Description The legal description must identify the affected land and be wholly adequate for field location of [he propertq. It can be in the form of metes b bounds survey or a descrip- tion by reference to tocroship, range, and section, to at least the nearest quarter- quarter section. Where applicable, the street address ox lot number(s) my be used. EXHIBIT B - Mining Plan This can be a general discussion of the methods, equipment, phases or stages of the operation and those portions of land affected by each. The plan should be correlated with the map and should show where extraction will begin, and which direction, if any, it will proceed. EXHIBIT C - Hap This map should clearly define permit boundaries and indicate all roads or stockpile areas co be used in connection with the operation. All immediately adjacent landowners must be shown, The quarter section corner, section line, or any other locateable points should also be shove on this map. E?g1IBIT D - ITildlife, Water Resources, Vzgetation and Soils Information Each of the above~eationed subjects gust be addressed as outlined in the applicable RULE. EXHIBIT E - Reclamation Plaa As with the mining plan, this should be a general discussion of the methods, equipment, phases or stages of the reclamation process and those portions of land affected by each. If possible, the plan should be closely correlated with the map. If not, the narrative must be comprehensive enough co draw as accurate verbal picture of the expected appear- ance of the area after completion of reclamation. E:4fIBIT F - Proof o.' Local Government Approval . This must be a letter from the local government specifying conformance vi t§ existing ' zoning regulations. (It is intended that operators may obtain local government approval concurrent with Che Division's pcocessing of the application. To do so, the operator must submit evidence which indicates that local government approval is currently pending or •r±ll at least be considered within a reasonably short time by the appropriate govern- ing body PULE 1.1(10) (Consult this RLtE for full details on this requirement.) E%'.IffiIT G - Source of Legal Right co Enter ''_"nis could be a copy of the lease, deed, abstract of title, or current tax receipt. Aa acceptable alternative would be a statement acknovled ged by a notary public that the operator has the legal right to enter and mine. EXHIBIT R - Reclamation Costs For a 110 permit, if the operator requests surety to be less than $2500, the ooeratormust ^ submit faces to support such a request. Otherwise, a surety of $2500 will automatically be set. For all lli permits, the surety shall be $2500 per acre. EXHIBIT I - Terms of Governmental Contracts ii For Special 10-Day (111) Permits, the operator must submit a copy of the contract or ~ other proof that proves the necessity of a special 10-day permit, The operator must also submit evidence of the surety provided under [he governmental contract, if it vas required. NOTICE PROCEDURES After the application is considered "filed" (pursuant to RIILE 1.1(10) with the Hined Land Reclamation Division, notice procedures outlined in RULES 3.2 andlor 4.2 must be folloced. (Fornat for such notices will be included in the letter you receive from the hCLR staff infoming you of the completeness ("filing") of your application. ADDITIONAL INFOR`1ATION This space can be referenced for further information of any of the items on this form. A list of other required permits, licenses, and governmental approvals, and a summary of the geology, history and past production from the Go lc Hill mining district and the Cash mine is given following Exhibit G. To the best of my knowledge, all the information presented in this application is true and correct. BY ( ~ \Q?cjL T,rc for Gold Hill Mining Company _ (7ie~wd S•: inJi :•: uu.il La~zl!•: anCicr- i-a~.i [c Sir.j t•.~ eF~e rotor to [hi; - .~..__.,..1