PERMFILE56840

• Permit No: M2001100
• IBM Index Class Name: Permit File
• Doc Date: 10/4/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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FILING REQUIREMENTS:
In oorder to apply for a Reclamation Permit for a Regular 112 Operation, please provide:
?' o One (1) signed and notarized completed IVORY ORIGINAL and four (4) copies of the completed ~~ original
/ Regular 112 Operation Application Form. ORIGINAL SIGNATURES MUST BE DONE IN BLUE INK
+' c Five (5) copies of Exhibits A-S (required sections described in Rule 6).
J ~ Five (5) copies of Addendum 1 -Notice requirements (described in Rule 1.6.2(1 )(b)). A sample of this notice is
/ attached for your use.
~J ~ The Geotechnical Stability Exhibit when required by the Division.
/ o The application fee.
The ninety (90) day period for review of the application and exhibits will NOT begin until all required information and fee are
submitted. The Office will then review the submitted information for adequacy.
NOTICE REQUIREMENTS:
~/ 1. You MUST send a notice, on a fotm approved by the Boatel, to the local board of county commissioners. A copy
of this "Notice of Filing Application" form is attached for your use.
~/ 2. If the mining operation is within the boundaries of a soil conservation district, send a notice to the board of
supervisors of the soil conservation district, PRIOR to filing the application. A copy of this "Notice of Filing
Application" form is attached for your use.
3. You MUST include proof of notice # 1 and #2 above with the application at the time the application is submitted
to the Office for filing (Rule 1.6.2(1)(8)).
,~ 4. PRIOR to filing the application, place for public review a copy of the application, less confidential items, with
the clerk or recorder of the county or counties in which the affected land is located.
5. You MUST include an affidavit or receipt demonstrating that the application was filed with the county clerk or
recorder at the time the application is submitted to the Office for filing.
6. Any changes or additions made to an application submittal MUST be filed with the county clerk or recorder.
You MUST also provide the Office with an affidavit or receipt demonstrating that the change was filed with the
county clerk or recorder no later than the close of business on the day the change was filed with the Office
(Rule I.8.1(2)).
7. Within ten (10) days after your application is considered filed, you must publish four times in a newspaper of
general circulation, in the locality of the proposed mining operation, the notice described in Rule 1.6.2(1 xd).
_ 8. In addition, after the first publication you must mail or personally serve a copy of the notice described in
Rule 1.6.2(1 xd) to all owners of record of surface rights and holders of any recorded easements to the affected land
and all owners of record and holders of any recorded easements of lands that aze within 200 feet of the boundary of
the affected land (Rule 1.6.2(1 xe)). A copy of a form which includes all required information for the notice is attached
for your use.