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117 Permit Application (cont'd)- ' INS'f itUC:I01:S: Th;s appllcacio~d a~c companyinq maccri als must b~u hm~ in duplicate. In the interests of efficiant pro.:e ssinq, plaaaa .n..ude following into ration -d I~catt -~__.. _.,- o_„o Chv' ~ ~.~ ~~. .._~ __.. ~r___.__.._ __- 3 for guidance; Special 10-day Pe rmits ,, see RULE + for guidance. ESHIB IT ?. - Legal Description She legal description must Sdentify the affected land and be wholly adequate For field location of the property. It can be Sn the fpm of metes b bounds surrey or a descrip- tion by reference Co township, range, and section, to a[ least [he nearzst quarter- quarter section. Where applicable, the street address or lot number(s) my be used. EQ?IBIT B - ?fining Plan This can be a general discussion of the methods, equipment, phases or stages of the operation and those portions of land affected by each. She plan should be correlated with the map and should show where extraction will begin, and which direction, if any, it will proceed. EXNLB IT C - Map This map should clearly define permit boundaries and indicate all roads or stockpile areas to be used in connection with the operation. All im;aediately adjacent landowners must be shown. The quarter section corner, section line, or any other locateable points should also be shown on this map. ERRIBIT D - S7ildlife. Water Resources, Vegetation and Soils Inforaation Each of the above~en[ioned subjects gust be addressed as outlined in the applicable RULE. L E:{YIBIS E - Reclamation Plan ;~ !'~ As with the mining plan, this should be a general discussion of the methods, equipment, phases or stages of the reclamation process and 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 co draw an accurate verbal picture of the expected appear- ance of the area after completion of reclamation. _ EYiiI3IT F - Proof of Local Government Approval '•~ ~• ( 1 This must be a letter from the local government specifying conformance with existing zoning regulations. (It is intended that operators may obtain local government approval concurrent :ri t4 the Dit-ision's processing of the application. To do so, the operator must su'vmit e•idence which indicates that local government approval is currently pending or will at least be considered within a reasonably short time by the appropriate govern- ing body RULE 1.1(10) (Consult this RULc- for full details on this requirement.) F.{H?B IT ~ - Source of Leoa1 Hight to Enter ~.i r~ i " This could be a copy of the'lease, deed, abstract of title, or current tax receipt. An acceptable alternative would be a statement acknowledged by a notary public that the operator has the legal right to enter and mice. ERFiI3IT H - Reclamation Costs ~ '. 7 Tor a 110 permit, if the operator requests surety to be less than $2500, the operatorrus[ submit facts to support such a request. Other+ise, a surety of 52500 will automatically be set. For all 111 permits, the surety shall be $25C0 per acre. E!OIIBIT I - Tarns of Gove nmental 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 special 10-d ay permit. The operator must also submit evidence of the surety provided under the governmental contract, if it vas required. NOTZCE PROCEDURES After the application is considered "filed" (pursuant to RULE 1.1(10) with the Mined Land Reclamation Division, notice procedures outlined in RULES 3.2 and/or 4.2 rsust be fol'_os.-ed. (Format for such notices will be included in the letter you receive from the bII.R staff informing you of the completeness ("filing") of your application. ADDITIONAL INF02`"ATION This space can be referenced for further information of any of the items on this fpm. To the best of my knowledge, all the info z-iat ion presented in this application is true and correct. //~,~ oD t BY LL~c~l~Le,n ~DL,I~Lt..ts`J IITL~ (Sic•ied b~~ in~:~•:.iua! 1:~_-i11:: a~ttaor_ ie~d to Sint can ep~racor to tai; c. '.c:.__'n.1