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<br />11. Present land cane Gravel Pi[
<br />(i.a., agricultural, industrial,~e[e.)
<br />15. Proposed future land use ~ back slope, top soil and seed with
<br />(Goal of reclamation) ~ appropriate grass, when State makes suf-
<br />w er ava a e.
<br />ItiSTRUC'TIONS: This application,form must be submitted in duplicate and each form moat
<br />be accompanied by the following lnformation and items. Tha application .
<br />" will not be processed until complete. Sea RULE 3 (for Limited Impact)
<br />of RULE 4 (for Special 10-day) for additional guidance.
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<br />EEEIIDIT A -Legal Description
<br />The legal deaeription must identify eha affected land and be wholly adequate for
<br />field location of the property. It can ba in the form of metes sad bounds survey
<br />or a deaeriptioa by rcferenes to township, range, sad section to at least the '
<br />nearest quarter quarter section. iJhere applicable, the street address or lot
<br />mmber(s) may be used.
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<br />•,~,'' ffiIBIT B - Mlniaa Plan
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<br />This can be a general discussion of the methods, equipment, phases or stages of '
<br />the operation and those portions of land affected 6y each. The plan should be
<br />closely correlated with the map and should show where extraction will begin, which
<br />'direction it will proceed. ~ '
<br />EEHIBIi C -Map
<br />'lbis map should be ae eompreheaaive as possible in [arms of clearly defiaing
<br />the pesaLit bouadariea and indicating all roads or stockpile areas to be used in
<br />connection with the operation. All immediately adjacent landowners moat be shown.
<br />The clones[ quarter section corner, section line, or nay ocher locateable point
<br />should also be shown on eha map.
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<br />E7~IEIT D -Wildlife, Water Resoureea, Vegetation and Soils Information
<br />Each of the above-mentioned aub,jacta must be addressed as outlined in the
<br />applicable Rule, under it® number ten (10).
<br />~IDIT E - Raclanatioa Plan
<br />A. vit6 the mining'plaa, this should be a general discussion of the methods,
<br />equipment, phases or stages of Che reclamation process and those postions of
<br />land affected by each. If posaible~ the plan should be closely correlated
<br />with the ,map. If not, the narrative must be compreheaaive enough to draw an
<br />accurate verbal picture of the expected physical appearance of the area after
<br />completion of reclamation.
<br />EZBIEIT F - Ptoo! of Local Government Approval
<br />This must be a letter from the local government epaclfying conformance with
<br />existing zoning regulations.
<br />EZBIDZT G - Souren of Legal Riaht to Enter
<br />This could be a copy of the lease, deed, abstract of title, or current ta:
<br />receipt. In lieu thereof, a statement acknowledged by a notary public that
<br />the operator has the legal right to enter and mine will be accepted.
<br />*eFOR SPECIAL 10-DAY PERMITS O~II.Y**
<br />EmmIBIT 8 -Reclamation Costs
<br />Lf the surety is requested eo be less Chan S2500, the operator must submit
<br />facts to support such request. Otherwise a surety of S2500 will automatically
<br />ba net.
<br />S7~IBIT I -Terms of Governmental Contract
<br />The operator moat submit a copy of the contract or ocher proof that proves the
<br />necessity of a special 10-day permit. The operator must also submit evidence
<br />of the surety provided under the governmental contract, if it was required.
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