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<br />-z <br />TYPE OR PRI:T CL~\aLY <br />14. Present land use Industrial <br />(i. e., agricultural, industrial, etc.) <br />15. Proposed future land use Industrial <br />(Goal of reclamation) <br />I".ISTRtiCTI0iI5: This application form must be submitted in duplicate and each fora oust <br />be accompanied by the foilowind inLOr-ation and items. The application <br />will not be processed until conplete. See F.ULE 3 (for Limited Impact) <br />or RULE 4 (for Special 10-day) for additional guidance. <br />Eti~?IBIT A - Legal Descriotion <br />The legal description must ident <br />field`•location of the property. <br />or a description by reference to <br />nearest quarter quarter section. <br />number(s) may be used. <br />EXr?I3IT B - i~!inin~ Plan <br />ify the affected land an3 be wholly adequate for <br />It can be in the form of metes and bounds survey <br />township, range, and section to at least the <br />[,there applicable, the street address or lot <br />This can be a general discussion of th_ methods, equipment, phases or stages of <br />the operation and those portions of land affected by each. The plan should be <br />closely correlated with the map and shculd show where extraction will begin, which <br />direction it •aill proceed. <br />E:C3I3IT C - 2-?ao <br />This slap should be as comprehensive. as possible in terms of clearly defining <br />the permit boundaries and indicating all roads or stockpile areas to be used in <br />connection with the operation. A11 immediately adjacent lando:rners must be shown. <br />The closest quarter section corner, section line, or ary other locateable point <br />should also be shown on the nap. <br />ECgIBIT D - Sdildllfe, Water Resources, Vegetation and Soils Information <br />Each of the above-mentioned subjects must be addressed as outlined in the <br />applicable Rule, under item number ten (10). <br />E;CEiIBIT E - Reclamation Plan <br />As with the mining place, this should be a gene*al discussion of the aethods, <br />equipment, phases or stages of the rec'_aration process and those portions of <br />land affected by each. If possible, the plan should be closely correlated <br />with the sap. If not, the narrative Host be conprehensive enough tc draw an <br />accurate verbal picture of the expected physical appearance of the area after <br />completion of reclamation. <br />E_`;riIBIT F - Proof of Local Govern~^.ent aovroval <br />ii:1S :chit D2 a lEtter fLoa rile lOCal QO':2Lti2nt SpeC,f}7ny, COnfOrna~Ce with <br />existing zoning regulations. <br />E\"?iI°,IT G - Source of Legal Rieht to Enter <br />ibis could be a copy of tin lease, deed, abstract of title, or current tax <br />receipt. In lieu theraof, a state ant ecaoalecoed by ~ notes-y public that <br />the operator has the legal right to enter and ^ir.e will be accepted. <br />~~~~:vR S?ECI:1L 10-D_1Y P?,iu'?TS C:f':~~~~ <br />E ~::_L T_I' ?i - Reclamatior. Costs <br />If the surety is requested to ba less than $25G0, the operator c:wt subnit <br />facts to support such request. Othe:,ise ~ sure*_y of S2~00 gill autorv3tica17. <br />be set. <br />E'•3i~IT I - Terr„s of Governmental Contract <br />T?:e o?orator oust subcit a copy of the contract or otLor orooE that ?roves th=_ <br />necessity of a special 10-day per:ait. is=_ operator cast also subait evidence <br />of toe surety provided under the governental contract, if .it was reeuired. <br />