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<br />"`'lac~p~ f'uSAt~o lend use !, _
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<br />'kt•g on) cuT'Lui~
<br />=e-claim
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<br />TlCatiun Eorm
<br />r't~ ~ ~'~~'~'••+1~iS.,~p
<br />mri'sr ,., r:uhmttted iu dupli:.,tc and e'~Th form moat
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<br />r -''1r wrfci~~;'1~n+ani¢d~by the failuwt,t,e, inror-m:,ttun an<I .:.,,-.,s. Th„ applicat.fon
<br />~;'.~{.%~"i,?'_ y{;!!idy~,t'~g4.tbe processed
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<br />< uncfl romntrtc. ;,uc Rln.:. .~. ~[nr t.ict.cer Impact)
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<br />`;_,,: +d t4 '(for Special 10-da 'tor arlditiona] .ui.ta,,,.r..
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<br />11 i'1 t ion
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<br />?•~"~~-;~.~" ~~DCSiption must idenc
<br />ify tl r• .+f iec!=•:I land ai,d •. ,:belly adequate for
<br />~,i C~Cn~o~ [hr property.
<br />~' 7t r:rr !rr Ln t:,r• form ui r,~tes and bounds survey
<br />`'.b~`,o $OncRy~g,loq'by reference to tow:r.!iip, range, and sectt:,n to at least the
<br />' ~4, k8er• queYter section.
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<br />i i,9,err ~prllc:,blr, the ., ;.n•et address or lot
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<br />..,.•„~t. ! rt.+~i(~pT^ ' 1 discussion of the methodv, rqutpmenr, abases or stages of
<br />~~~<~ ea portions of :nod affrcied by e:.c'.. ~ 'I'r,e plan should be
<br />_~~' ~Lfr~`7jiY¢lrH1[h the map and sluuld tihor+ wherr. cxtrution will begin, ehich
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<br />~~"` ~.^~'as cawprehensive as passiblr to terms or clearly detining
<br />~', `~yaSsa trod indicating all roads ur stockPilu areas to be used in
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<br />r)'.~&~''Qk~ OpCYa[iun. All lmmedi:;trl•t adjacen~ `.inar+wners mus! he ahoem.
<br />:~, ~` i ~~.~~y~gpr'~ection corner, :~r•ction line, cr an) .Icher tocateable point
<br />:-~ b~. iy'w+~p:,'on.the map.
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<br />~~.11e.,~~ ,0,~~~¢& Resources, Vegetation auJ Soils _lnrr•rmation
<br />',~j~gstlon®d subjects mur;t he. addressed as nutli.ned in the
<br />' 'q~;~~aadet item number ten ~ i 1)) .
<br />~'~~„ a ~ p ,. genera! discussion of the methods,
<br />ti;>;R lan this should be a
<br />~ ~ _. D, Do9Sor s@ages of the reclamation process and those portions of
<br />~'~+t7ach.• IL possible, rho play shoulri hr. closely correlated
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<br />~+;'~r ode' $q•„AOCr the narrative muvt :,r r r•mprr•hensi rr raoup,L to draw an
<br />u. rCt~aI1~R~f~ifture of the rxpr;ted phyrtlr'.rl appea,an;',: n; [h: .,tea after
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<br />~~~ °a ~•, 1 Goaernment A ~rov:;l
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<br />" "~(1{t~4S',~~Qtn the )oval l;,,,•ren,ment sprcifvinr conformance with
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<br />`,5've ~ j~~~'„~ ~ ~ .,P. {~2L{161 dlQ iOR°. '
<br />°_~.. ,or~~t, :_ _ iri.'cY.~^-Leaal'~Rieh[ Stu F.n[c,
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<br />(.~ ~h - '~..~`'.~,,-may of the lease, Jc,ud, aLstrdet of [L. i ~ , o: current [ax
<br />"•:''~vF~.~, ;~:Q {,tereof, a stet rmrnt acknowledged by n ~.otary pubi is that
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<br />~.'j~ g~l:~tht'. legal right u, rrttr: alit r.iine wi" tl., acn:pted.
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<br />' ;15~,r~~„.+I~{;tj~~g7 31Q::.e¢gtuasted to be less Ulan SySU1, the earr.;rr,r must submit
<br />',`~~' ,f~jlv~'g1,~ ,t~ c:'"rip] will aa[umat1ca11
<br />p ~s~ FLT eta request. Otherwise a sur.;ty of y
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<br />;~~~ q~d8~'.p~Eo&'4u6tait a copy of the r.lnttract or ocher proof that proves the
<br />J=:~ ~ ')'gSlw'A: opi~cial IU-day permit . 1'h+e oper,tor must ,'vl'• suhmic evidence
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<br />•.,.}t: q'_,~'0"x;.g.~?i:ded under the r't~Vrrnmrntrr) ;uniraC:. '' 'l Wds required.
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