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2.03.4 page 3 <br /> -4- <br /> APPLICATION REQUIREMENTS <br /> Type or print clearly in the spaces provided below, the appropriate page number(s) <br /> of the permit application where a a narrative discussion for each information <br /> category may be found. Where a map has been used to supplement or clarify the <br /> narrative, indicate in the space provided below, where the appropriate map(s) may <br /> be found in the application. Please note that certain maps related to specific <br /> information categories are required for an application to be considered complete. <br /> Where maps are required, a title description of the applicable subject matter to be <br /> included, the applicable regulatory citation describing the required information to <br /> be presented, and an asterisk (*) appear in the appropriate space below. <br /> Each permit application must provide appropriate information which minimally <br /> address each of the following requirements. In cases where any item is not <br /> applicable, the applicant should so specify. <br /> Location in Application <br /> INFORMATION CATEGORY NARRATIVE MAPS <br /> 2.03.4 Identification of Interests 0-1 juvlaceOwnership <br /> no manse a-2 liineral Ownershij. <br /> 2.03.5 Compliance Information a6e :no crian6e <br /> 2.03.6 Rights of Entry and Paces: 1-5* C-1 <br /> Operation Information 0-2 <br /> 2.03.7 Relationship to Areas abes : 1 11 <br /> Designated Unsuitable no cYrarl8e <br /> for Mining <br /> 2.03.8 Permit Term Information rakes : 1-6* <br /> 2.03.9 Personal Injury and rages : 1-6 <br /> Property Damage Insurance no chariee <br /> Information <br /> 2.03.10 Identificationo ter rakes : 1-27* <br /> Licenses and Permits <br /> 2.03.12 Newspaper Advertisement ea6e s : 1-6* <br /> (Submit a copy of the <br /> proposed newspaper <br /> advertisement) <br /> 2.04.3 Site Description and rases : 1-4 *Land Ube 12.04*3 <br /> Land Use Information no chance (2)(a) , <br /> 2.04.4 Cultural and Historic rakes : 1-15 <br /> Resource Information no chance <br /> 2.04.5 General Description of rases : 1-14 *Geology, surface O-4* <br /> F( drol ogy and Geology no ch an6e and ground water C-10* <br /> systems of the C-10a* <br /> permit, adjacent C-1 1* <br /> and general area- <br /> 2.04.50 ) <br />