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<br />_ -_ - __ __-__ ~dRQeldTla-- _.____-_._..-. --.-.__
<br />Fr~sa ,. ta:~d u>P (i , ag ri
<br />Pre~es.c fcturc land u:a
<br />(Goal of roclaca[icn) j-'P'~~~~a ----- ---'-'
<br />I;:S T GCTIGU>; This applic a[ion ecd all ac: o-.Ip=,.'y in? R-'.[erials t.,us[ b_ S,;S~ittt.'. fir, dupii<ate.
<br />In [hc in;cres [[. of cfficic~; Grocc:;s in„ PI^. ase ir.cl ude tl'c follw,i~g inFcraa-
<br />[ien L ite~s. Lici [-: ~1 1.-.~act ~7'•"-Lions, sac RCL.'--. 3 for oui d. race; Spacial 10-
<br />day Per-:its, se± R7LE 4 for c:lid.n Ce.
<br />~: 3!T A - rl:a1 Dc Seri N.ion ~~~ ~~ ~" _ _. _.
<br />The Icyzl d•acription rau',t idcn(ify the affeetzd L;nd and E>e Lholly ad: ;ua:e for
<br />(field Iccati on cf the prcper[y. It can be in tins fore of mete; L ba::n ds survey
<br />or a d^_scri p;io^ by reference [o [r..n ;i,ip, ranee, and Section, [r. a[ least tha
<br />nearest gcar:_r-G Uar;er su[ion. Fhe r•. applicable, tbs st rent address or lo[
<br />n.,; ,her(s) r,•ay •.^ used. .
<br />E%1113IT 5 - Yinin7 Plan
<br />This can be a vane ral discussion of [he me :.`.c.ds, eguip~en t, phase; or stags of Che
<br />opcra;icn acd those portions of land affected by each. The plan should he
<br />eorrclat ed '..i th [ha nap acd should sh aw w!:e re extrac Cion will hegira, and which
<br />direction, if any, it will procaed.
<br />E%tiIZ1T C - :4ao
<br />This r..ap sf:auld clearly defi eo pe r:.,it boundaries and indicat^_ all roads or slot Y,pile
<br />areas to Se used in co~nPCtiun s+i [h Cite op-: ~tiun. All inn:cdi a[ely adj ac ^_n[ Ian Ls.:n ors
<br />oust b~s show . T!:e yua tier section corner, sec lien line, or~ar,y of h.cr loc;.teaLle paints
<br />should also ba sho•::n on Lh is nap. '.
<br />E%BIZ!T D - 'ai !dlife, G'a ter Resou rc-5. Ce ,e t,;i on and Soils Info rmalicn
<br />Each cf ;h^ ¢ o..q-.-.'.antion=_d 5uhjee is r.:us[ ~a ad dl css ed as ou U in=d in Che applic.ble .
<br />F.L~L E.
<br />E%H:31T c -'.eclama[ion Plan
<br />As wish the r..i ning plan, this should be a gong ral discussion of [he nethods, eGui pz?rat,
<br />phases or staye5 of the reclamation prcc ess 2nd [hose portions of land affe tied by each.
<br />Ii pCS516ie. Che pla, should Le closely corre:ared with rha rap. If not, the r,a rrati+a
<br />:,ust be cozp reheniive s'r.000h [o drag an accu: ate verbal picture of the exp_c led appear-
<br />:~nco of th': dr E3 after cor•pletion of roc laaatlon.
<br />°.~HI?IT r - ?roof of Local Cove rnr,.en[ A^o rovsl
<br />,This must be a ieiter fray the local eo'rernr:ent specifying eon `o rsance wi [h existing
<br />zoning regulations. (It is intended [hat operators may obtain local yev-.rnr..anG aop royal
<br />eer.eurrc:nt ++i th the Division's processing o.` [he aoplica[ion. To do so, Che opt ra[or~
<br />nus[ submit evidence ••Ih ich indicates [ha[ kcal ?ov [. approval i5 cur ren[ly cc r.d ir,g
<br />or ui 11 a: Ieest be considered v/i th in a retsanably short time by the appropri at=_
<br />yeve rn ing body. .P.I;IE I.i(10) (Consul[ [tiffs RULE for full do tails on [his feG ui reaan[.)
<br />E rd 19 IT - Sourte of legal P,i aht [o Enter
<br />This wuld Le a cop'/ of the lose, deed, ibsiract of ti [le, or current [ax rcce ip;.
<br />An accep taS le al to rnati ve would be a sta[er..m[ ackno.a cd gad by a notary puSlic [ha[
<br />the ope ra [o: has [he legal ri gl,[ Co enter and ;.line.
<br />EXil6f7 ti - ..°,a'lanaLion Costs .
<br />if [ke survey is rc GUest cd to be 1c55 than S2 $7~i, the operator r.ms: subnit faca Co
<br />support secs a rogues t. Other wise, a sure [y of $<5G0 wi li au[or:atically be set.
<br />•== FOR SPELIP.L IC-DAY (111) PEa.41T5 ONLY `~~~•
<br />Fy61 IT I - Terns of Go Ye rnmen[al Cnn[ract
<br />For S;.ecial 1C-lay (III) Permits, [hc oGera;o: r..us[ subnit a copy of the cen[rac[ or
<br />other proof that proves the necessity cf a sGe <ial 10-day pe rmi[. The operator r..u;t
<br />also subnit evide»ce of [he surety provided va der ;he cove rnrxn[al contract, if it was
<br />requi rc d.
<br />t+OTICE PR^,r,ELC RES
<br />Ar*er th^_ applica[i on is eensi de red "filed" (pursuant to ROLE 1.1(10) with ;he Nined Land
<br />Recta:naticn Di vision, notice procedures outlinrd in F.DL ES 3.2 L/or 4.2 r..ust to followed.
<br />(Fo r::at for such ne[i cos will b^_ includad in the letter you receive from the Y.LR staff
<br />informing you of the comple[ene55 ("filing") of your applica[i an.
<br />A771T17•;,L 1':FC RNATI O'I
<br />This space can be referenced for further info rna[icn of any of the iteas on this for n.
<br />To th. S~st of r.:y kna,ledge, all the in fn r: ,ztien presented in his appiica [ion is [r
<br />and.ccrrcc t. ~r
<br />6Y
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<br />~,~~ ,yp-
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<br />5'{f.,;Cj LY I:1 :'/I.- 31 12 y'.3ily u•:C ,Or
<br />is ed to bind the oPe rater :o ;his
<br />-. ~. I;r- fora.)
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