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PERMFILE60176
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PERMFILE60176
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Entry Properties
Last modified
8/24/2016 11:07:10 PM
Creation date
11/20/2007 6:35:26 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977407
IBM Index Class Name
Permit File
Doc Date
10/3/1977
Doc Name
LIMITED IMPACT AND SPECIAL TEN DAY PERMIT APPLICATION FORM
Media Type
D
Archive
No
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TYPE OR Y3INT CLF:.:2LY I <br />14. Present land use <br />(i. e., agricultural, industrial, etc.) <br />15. Proposed future lard use <br />(Coal of reclamation) <br />INSTRCCTI0:15: This application form must be submitted in duplicate and each fo;-n must <br />be accompanied by the following information and items. Toe application <br />will not be processed until complete. See RULE 3 (for Limited Impact) <br />or RULE 4 (for Special 10-day) for additional guidance. <br />E~1IIBIT A - Legal Description <br />The legal description must identify the affected land and be who'._ly adequate for <br />field location of the property. It can be Ln the fora of metes wind bounds survey <br />or a description by reference to township, range, and section to at least the <br />nearest quarter quarter section. Z,ihere applicable, the street acidness or lot <br />number(s) may be used. <br />EXF?IBIT B - :-Lining Plan <br />This can be a general discussion of the methods, equipment, phr.sas or stages of <br />the operation and those portions of land affected by each. The Elan should be <br />closely correlated with the map and should show where e:c:ract`_on will beg'_n, which <br />direction it will proceed. <br />E.Y.z'IBIT C - Ftao <br />This map should be as comprehensive as possible in terms o' clearly defiang <br />the permit boundaries and indicating all roads or stockpile area:; to be used in <br />connection with the operation. All immediately adjacent la^.do•.n,:rs must be shown. <br />The closest quarter section corner, section line, or any other lncateable point <br />should also be shown on the map. <br />E.'ffIIBiT D - Wildlife, !Dater P.eso,:rces, Vegetation and Soils Izform::t_:n <br />Each of the above-mentioned subjects must be addressed as outlir.:~d in the <br />applicable Rule, under item number tea (10). <br />E.~-lIBIT E - Reclamation Plan <br />As with the mining plan, this should be a general discussion of .he met?:ods, <br />equipment, phases or stages of the reclamation process and those portions of <br />land affected by each. If possible, the p'_an should be closaly ~:orrela[ed <br />with the map. If not, the narrative must be comprehens~:e e-~ou~ii to dra:r an <br />accurate verbal picture of the e:;pected physical appearance of to area after <br />completion of reclamation. <br />EYHIBIT F - Proof of Local Gcvern.:.ent Approval <br />This must be a letter from the local government specifying conformance with <br />existing zoning regulations. <br />E.'ffiIBIT G - Source of Legal .Right to Enter <br />This could be a copy of the lease, deed, abstract of title, or current ta:c <br />receipt. In lieu thereof, a statement ac!cnowledged by a notary public that <br />the operator has th_ legal right to enter and mine will be accepted. <br />**FOR'SPECZAL 10-DAY PECu1ZT5 OSTLY*1 <br />E:ffiIP,IT it - Reclamation Costs <br />If the surety is requested to be less than $2500, [he operator Lust submit <br />facts to support such request. Other.~ise a surety of $2500 will au[ocatically <br />be set. <br />E:vIIBIT I - Tenets of Governmental Contract <br />The oper_tor must s,.tbnit a copy of the contract or other proof that proves t^e <br />_ a ____ .,, ~n_a-.. ~. <br />..c;,~.,~_t~ c. .. ___-- _ -, ^er^_ '!"rte ~~=r=rn* n,ut also si.bmit evidence <br />of tho e,n-ety provided under the governmental contract, if it was required. <br /> <br />
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