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r - - - . <br />ice. Present la.-.d use AGRI LTURAL <br />(i.e., agricultural, industrial, etc.) <br />i:. Proposed future Land use NGRICULTURAL <br />(Goal of reclamation) <br />LtiSTRIICTZOHS: This application form must Se submitted in duplicate and each form must <br />be accompaaiec 6y the following information and items. T::e application <br />will not be processed until. complete. See RLZE 3 (for Limited Impact) <br />or RLZE 4 (for Special 10-day) for additional guidance. <br />Etr~ISZT y - :.acal DaSCriDt:o^ <br />T`.e legal description must identify the affected land and be wholly adequate for <br />field location of the property. It~can be in the _`orm of metes and bounds survey <br />or a ~~scriptioa by reference to township, range, and section to at least the <br />nearest quarter quarter section. Where applicable, the street address or lot <br />nc~ber(s} may be used. <br />~s::SIT B - ?;ini :~ Plan <br />This can be a general discussion of the methods, equipment, phases or stages of <br />tY.e operation. and those portions of land affected by each. The plan should be <br />closely correlated with the map and should show where extracc'_on will begin, which <br />direction it w-i11 proceed. <br />~I92T C - `2D <br />This map should be as comprehensive as possible in se:-s o£ c'_ear'_;~ def..'', <br />the permit boundaries and indicating all roads or stockpile areas to be uses. _: <br />connection with the operation. All immediately adjacent landowners must be s:.cwn. <br />The closest quarter section corner, section line, or any otter locateable ?oi:.t <br />should also be shown. on the man. <br />E.41?IBIT D - Wildlife, Water Resources, Vegetation and Soils Information <br />Each of the above-mentioned subjects must be addressed as outlined in t`:n <br />applicable Rule, under item number tea (10}. <br />~IBIT E - Reclamation ?lam <br />As with the mining plan, this should be a general discussion c? t=e met::ods, <br />equipment, phases or stages of the reclamation process and those ?onions of <br />laced affected by each. If possible, the plan should be closely correlated <br />with the map. If not, [:te narative must be ccmprehens_:s enougn to draw a.. <br />accurate verbal picture of the expected physical appearance of the area after <br />completion of reclamation. <br />E~SBIT F - Proof of Local Government Aooroval <br />This must be a letter from the local government specifying confor^~nce with <br />existing zoning regulations. <br />~T'IBIT G - Source of Legal Right to Eater <br />This could be a copy of the lease, deed, abstract of t'_tle, or current tax <br />receipt. In lieu thereof, a statement acknowledged by a aotar~ Dco_ic tat <br />the operator has the legal right to enter and mine will be accepted. <br />**FOR S2ECIAL 10-DAY P°&`SITS 0\'LY** <br />~IBIT_ fl - Reclamation Costs <br />If the surety is requested to be less than $2500, the operator must subm_t <br />facts to support such request. Otherwise a surety of $2°00 gill automaC~;.al'_;7 <br />be set. <br />E~iI3IT I - Terms of Governmental Contract <br />The ooerator muss submit a copy of the ccntract or otter ?rcof _::1t 7rJVa3 _.'e <br />necessity of a special 10-day permit. The operator must also sdo.it zvidence <br />of the surety provided under the 3overnaental contract, if it was reeuired. <br />