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110 Pemi[ Aonltcatfon (con['d) INSR UCT10t:S: Tltis application an~ll accompany ing materials must be suF~t ted in duplicate. In the interests of efficient processing, ,-1.-.aaa iaclcde the following infarr-tian .. tta.. .._~. _c.a. T---ct ^-^__.,...._ - o„Tv 3 for guidance; Special 10-day Permits, see RULE w for guidance.^^ EXHIBIT A - Legal Descr iotion The legal description must identif•v the affected land and be wholly adequate for field location of the property. IC can be in the form of nieces b bounds survey or a descrip- tion by reference to township, range, and section, to a[ least the nearest quarter- quarter section. Ilhere applicable, the street address or lot number(s) my be used. EXAIB IT B - Yining Plan This can be a general discussion o:: the methods, equipment, phases or stages of the operation and those portions of land affected by each. T'ne plan should be correlated with the map and should shoe where extraction will begin, and which direction, if any, it will proceed. EXHIBIT C - Nan This map should clearly define penait boundaries and indicate all roads or stockpile areas to be used in connection with the operation. All imaediately adjacent iandowers must be shown. She quarter section comer, section line, or any other locateable points should also be show an this map. EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information Each of the above-mentioned subjects must be aidressed as outlined in the applicable RULE. EXHIBIT E - Reclamation Plaa As with the mining plan, this should be a general discussion of the aethods, equipment, phases or stages of the reclamation process ani those portions of land affected by each. If possible, the plan should be closely correlated with the map. If not, the narrative must be comprehensive enough to draw an accurate verbal picture of the expected appear- ance of the area ai.ter completion of reclamation. c.4iIBIT F - Proof of Local Government Aporoval This gust be a letter, from the local government specifying conformance with existing zoning regulations. (It is intended that operators may obtain local government approval concurrent with toe Division's processing of c:ie application. To do so, the operator must submit evidence which indicates that local government approval is currently pending or vii-ht~ieast be considered vi thin a real oaably s,:ort tima -`.y tie spprcpriate 3ovcm-~ ing body RULE 1.1(10) (Consult this RULE for full details on this requirement.) E%HIB IT ~ - Source of Legal Right to Enter This could be a copy of the lease, deed, abstract of title, or current tax receipt. An acceptable alternative would be a statement aeknowled ged by a notary public that the operator has the legal right to enter and iaiae. Eh'HIBIT A - Reclamation Costs For a 110 permit, if the operator requests surety to be less than $2500, the ooerator must submit facts to supoort such a request. Otherwise, a surety of 52500 will automatically be set. For all 111 permits, the surety shall be 52500 per acre. EXHIBIT I - Terms of Governmental Contracts For Special 10-Day (111) Permits, the operator must submit a copy of the contract or other proof that proves the necessity of a sper_ial 10-day permit. The operator must also submit evidence of the surety provided under the governmental contract, if it vas required. NOTICE PROCEDURES After the application is considered "filed" (pursuant to RULE 1.1(10) with the Yined Land Reclamation Division, notice procedures outlined in RIlLES 3.2 and/or G.2 must be ~__ ,_ followed. _ (ForraC for such notice swill Se included i tie let*_er •.^u r_ce±ve from the c1L.Tl staff informing you of the camnieteness ("i: ding")~~of your application. ADDITIONAL INFO?C"ATION This space can be referenced for further information of am, of the items on this form. To the best of my knowledge, ail the information presented in this applicatien is true and correct. v` (Sienc _' b•: !n~ivi~u~l '..;11 :~ ~n[hor_ i22d t. 1`I Cj C112 ^~2ratOr CJ Chli