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-- ;10 Pe rmi[ Aopiica [rion (con ['d.) <br />14, Present laid use (i.e., ayri- ~ilning <br />cultural, lode serial, etc.) I_ <br />IS. Proposed future land use <br />(Goal of reclamation) <br />permanent dwellinzs there <br />INSTAULTI ONS: this appl ica[ion and all accompanying materials must bt suhmi[[ed in duolica [°. <br />In the into rests of efficient Processiny, please include [he followicg inFo rma' <br />[ion E items. Lim i;ec Imoac[ Ooe rations, see °.U LE 3 for guidance; Special 10- <br />day Pe rmi[s, see .AU!E 4 for guidance. <br />EXHIBIT A - '_enal Descriotian <br />The Itgal disc ri p[ion must idon[ify [he affected land and be wholly adequate for <br />Field location of [he pronerry. It can he in the form of metes 6 hounds survey <br />or a description by reference to to.an shin, range, and section, [o at least [he <br />nearest qua rtc r-q ua r[er section. Where applicable, Che Street add toss or lo[ <br />number(s) may be used, <br />E%H181T B - Yining Plan <br />This can be a gent ral discussion of [he methods, equipment, phases or stages of the <br />operation and those portions or land affected Sy each. The plan snouid be <br />co rrela[ed wi [h the map and sn ould shoe: wne re axtrac [ion will begin, and which <br />dl rectinn, if any, is will eroceed. <br />EXHIBIT C - Hap <br />This map should clearly define pe rmi t~6oundaries and indica [e all roads or stockpile <br />areas to be uszd in connection wi [h the operation. All immediately adjacent landowners <br />must he shou:n, The uuarter section corner, section line, or~any other locateable points <br />should also be shown on this map, <br />EXHIBIT D - 'di ldl ife, Water Pesou roes, Vegetation and Soils Information <br />Each of the above-mentioned subj ecis must be addressed as outlined in the applicable <br />RULE. <br />EXHIBIT E - .Peclamation Plan <br />As with [he mining plan, this should be a general discuss. cn of [he methods, equipment, <br />phases or stages of the reclamation process anC ,host po rt igns of land affec ;td by each. <br />I` possi6lt, the plan snould 6z close l•: correlated with the ~aap. If not, [he na rra[ivt <br />must be comprehensive enouch ;o draw an as urate ~rerbal picture of the espec led appear- <br />ance of the area after completion of reclamation. <br />EXHIBIT r - Proof of Local Government Ace rpvai <br />..This must be a lector frgm [he local government sped Pfing conformance +i [h azis_i nq <br />zoning regulacions. (I[ Is intended tnar ope ra[ors nay obca in local governmenc approval <br />Concurrent ni th the Division's arec essira of thz application. io do se, [he doe racor <br />must submit evi 3unce which indicates that local goy[. agp royal is <u rren [ly cengi~,g <br />or wi 11 at least be cons ~dered :,i thin a reasonably short time by the appropriate <br />gove rn inq body. .RULE I.1 (10) (Consul[ [his 0.ULE for full details on [his rtqui ra men[.) <br />EXHIBIT G - Source pr La gal Ri oF,i ;~ rmtr <br />This could be a copy of [he lease, deed, abstract of title, or current cax receipt. <br />An acceptable alternative would to a scaczment acknowledged by a no [a ry pu 6lic [ha[ <br />the ope ra [or has the legal right [o enter and mine. <br />EXHIBIT H - reclamation sos is <br />If [he su re cy is requested eu be less than 52500, the operator must submit races to <br />supper[ such a toques[. Oche noise, a surety of 52500 will automatically be set. <br />x-' fOR SPECIAL 70-DAY (lil) PERM T$ ONL'f "+ <br />E%HIBIT I - Terms of Gove rnrten[al Contract <br />For Special 10-Day (III) Pt rmi [s, the ope rater must submit a copy of [he contract or <br />ocher proof that proves the necessi ri of a special IO-day permit. The ope ra [or must <br />also submic evidence of the su rr_ry providetl under the governmental contract, if it •eas <br />required. <br />NUT~LE PROCEOUAc'S <br />>~ter the aDpli<a[i on is considered "filed" (pursuant to 4ULE I.I {10) wi [h the Mined Land <br />?aclamation Division, notice oroceCUres outlined in RULES j.2 E/or 4.2 must be followed. <br />{Format for such ne[~ces ~.vi l'. be inc l~.,d ad in the lz i;er you receiv_ frox the ItLR - <br />ir,forminq vcu of the cumpl t[eness ('Filing"! of •/our application. <br />AC'OITI Or1AL INF^RHATI UN <br />Thi; space can be referenced for fu r[her information of any of the ~: ums on chi s' fo rn. <br />e not been in the <br />lans of any type <br />e winters are long' <br />* and sevare and gc?ngranh ir.ally it ;a far from an~r nnn+m cnL.lal <br />centers. <br />io [he hest of my knowledge, all the i.t `~-rma:ion or_]~n :ed :n chic aoplica[i on is [rde <br />cod correcc. I` <br />BY <br />c ~5~gneo by individual Itcally u[hor- <br />-ed to hind ;he operator to :his <br />applica[ion.i <br />