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i :'7 '~-:i. +a~l is `-tom. 'con,' 1) <br />i::5 :.'.6'C-ZJ13: T;ds app;icaCton~ all accano+n}^:12 ^accrlaLs ^uat S.,rna:'-tad !a <br />dupLicata. La thz intarzsts o: zfficie nt processins, p.waa ..c lade <br />+- _ ..,, <br />thz follovino ln'ar-tioa :: ..c ... LS='-^d '-^--• ^--___, ___ _-c oLr.` <br />3 For guidance; Special 10-day Pe mils, see RULE S for guidance. <br />• F.iu. i3L - '_egal Dascr'_ot_on ____--`_-___ _~____- <br />The legal description gust identify the affected Land and Se wholly adequate for ESeld <br />location of the property. It can be in the fora of ve tes 3 bounds survey or a descrip- <br />tion by reference to township, range, and section, to at least the nearest quarter- <br />quarter section. Nhere applicable, the street address or lot number(s) ay be used. <br />E:C'.I.BIT B - `fining P'_an <br />• This can be a general discussion of the mzehods, equipment, phases or stages of the <br />operation and those portions of land affected by zach. The plan should be correlated <br />with the man and should shoe where extraction will begin, and which direction, if nay, <br />it will proceed. <br />"QiIBTT C -Mao <br />This cap should clearly define permit boundaries and indicate all roads or stockpile <br />areas to be used in connection with the operation. a.11 imoediately adjacent landowners <br />must be sho:-n. The quarter section comer, section lice, or any other locateable <br />points should also be sho4n on this map. <br />• EF.dI3IT D - f7ildlife, `dater Resources, vegetation and Soils Informacioa <br />Faeh~of c~.e above-mentioned subjects oust be addresszd as outlined in the applicable <br />RULE. <br />ET.iIBIT E - Reclamation Plan <br />.ls with tie Wining plan, this should be a general discussion of the LLz[hods, equipment, <br />phases or staees ai the reclamation process and those portions of land ai`_ected by each. <br />if possible, the plan should be closely correlated with the nap. If not, the narrative <br />vast be cocnrehensive enough to dray an accurate verba'_ picture of the e:rpecced appeaz- <br />ance of the area azter completion of reclamation. <br />E:C°TB IT F - Proof of Local Government svvroval <br />This vast Se a 1e Car trop the local government specifying coafo eance >tCh existing <br />toning regulations. (?t is intended that operators nay obtain local gevernmenc approval <br />caacurrent -rich the Division's processing of the application. To do so, .he operator <br />must subtvit evidence which Lndicatzs that local gover~aenc approval is currently pending <br />or veil at feast be considered cr Chia a reasonably shore tine by thz apprcoriate govern- <br />ing body RULE 1.1(10) (Consult this RCL.E for `_u11 details on this requirement.) <br />E:i9I3IT C - Source of Leeal Right to Entet <br />This could be a copy of the lease, deed, abstract of title, or current tax receipt. <br />An acceptable alternative would be a statement ac'caevied ged by a notary public that <br />the operator has the legal right to enter and mine. <br />E~{IBIT !~I - Reclamation Costs <br />Tor a 110 oerait, if the operator requzscs surety to be less than 52500, the averatorausc <br />submit faces to support such a request. Otherrise, a surety of 52500 will autoratically <br />be sec. For all lli permits, the surety shall be 52500 per acre. <br />E7C~iiIB IT I - Terns of Cove rnmental Contracts <br />For Special 10-Day (1II) Peraits, the operator vast submit a copy of the contract or <br />other proof that proves the necessity of a special 10-day permit. the operator must <br />also submit evidence of the surety provided under the goveraaeatal contract, if it was <br />required. <br />\OTICc vPOCEDORES <br />• 4f ter the avolicatioa is considered "filed" (pursuant to RUL2 1.1(10) with the `fined. <br />Land Reclamation Division, notice procedures outlined in RILES 3.2 sad/or 4.2 must be <br />followed. (Fopat for such notices will be irciuded in the letter you receive from the <br />?fLR staf _° inf orviag you of the coWp leteness ("f il'_ng") of your application. <br />2~D D I T I O."](1I. I V F 02' AT I O V <br />Tais space can Se referenced for further infomation of any of the i[e^_s on this fpm. <br />BOC?D: An existinP exploration bond (Certificate of Deposit) is held <br />• by the Colorado Mined Reclamation Di~•isi~ n. This bond is for $500.00. <br />Ham~PSt this h~d_be applied on the surety for the minim- permit. <br />• To ti:e best of ny knowled ;e, all tae into oration press aced in this ap ration is true <br />and correct. ` ~~` ~~ <br />TIDE {'tit=S . <br />(Si rd ind..:.,uat ___.;li anraar- <br />ixa~.i _o ,b ir.i ..z epa:ator Co tai; <br />a-_'_i~..__....1~ <br />