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~. . • TYPE OR PRINT CLEARLY l4. Present laa<1 use - - ~: r-avnl P~ r (i.e., agricultural, industrial, etc.) IS. Proposed future land usn Open crass Lands (Goal of reclamation) INSTRUCTIONS~~ TYds application form ~ be submitted in duplicate and each farm must : be accompanied by the folloviag information and items. The application vi:ll not be processed until pgmplete. See RULE 3 (for Limited Impact) j or RULE 4 (for Special 10-day) for additional guidance. l.XfiIBIT A - Legal. Description Tha legal de~acription must ident~.fy,thn affected land and be wholly adequate for field location of the property. It can ba in the form of metes and bounds survey or a deacriF~tion bq reference to township, range, and section to at least the nearest quarter quarter section. Where applicable, the street address or lot number(s) may be used. EXHIBIT B - Hinir:g plan This eaa 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 closely correlated with the map and should show where extraction will begin, which direction it: will proceed. EXHIBIT C - Map Thla map should be as comprehensive as possible in terms of clearly defining the permit boundazies and indicating all roads or stockpile areas to be used in connection with the operation. All immediately adjacent landowners must be shown. I'he closest quarter section corner, section line, or any other locateable point should also be show on the map. EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information Each of the above-mentioned subjects must be addressed as outlined in the applicable Rule, under item number ten (10). EXHIBIT E - Recl:unation Plan As with the mining plan, this should be a general discussion of the methods, equipment, {:bases or stages of the reclamation process and those portions of land affected by each. If poeai6le, the plan should be closely correlated with the maFr. If no.(;, the narrative must be comprehensive enough to draw an accurate verbal picture of the expectnd physical appearance of the area after completion of reclamation. EXHIBIT F - Prool`. of Local Government Approval This must bps a letter fzom the local government specifying conformance with exiatiag zoning tegulatlons• The existing pit and workings preceeds the current Land Resource Management Plan (L.R.A1.P.) for La Plata County. Therefore, is allowed EYHIBIT G - Source of Legal Riglht to Enter by nonconforming use. Thin could be a copy of the lease, deed, abstract of title, or current tax receipt. In lieu thereof, a statement acknowledged by a notary public that the operator has the legal right to enter and mina will be accepted. *+FOR SPECIAI. 10•-DAY PERMITS ONLY** EXHIBIT H - Recl~unation Costs If the surety Ss requested to be less than $2500, the operator must submit facts to su~~port such request. Otherwise a surety of $2500 will automatically be set. EYFIIBIT I - Terns of Governmental Contract Tha operator. mutt submit a copy of the contract or other proof that proves the necessity ol` a special 10-day permit. The operator must also submit evidence of the surety provided under the governmental contract, 1f it was required.