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•. - .r <br />TYPE OR PRINT CLEARLY <br />14. Present land use <br />(i. e., agricultural, industrial, etc.) -Aar;c,~lture _ Grazin>? of livestock <br />15. Proposed future land use game <br />(Goal of reclamation) <br />s <br />INSTRUCTIONS; This application form must be submitted in duplicate and each form must <br />• be accompanied by the following information and items. The 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 />E7~IBIT A - Legal Deserintion <br />The 2ega1 description must identify the affected land and be wholly adequate for <br />field location of the property. It can be in the form of metes and bounds survey <br />or a description by reference to township, range, and section to at least the <br />nearest quarter quarter section. Where applicable, thn street address or lot <br />number(s) may be used. <br />ERHLBIT B - Mining Plaa <br />Thin eaa be a general discussion of the methods, equipment, phases or stages of <br />the operation and those portions of lead affected by each. The plan should be <br />closely correlated with the map and should shoe where extraction will begin, which <br />direction it will proceed. <br />EEHIBZT C - Man <br />This map should be as comprehensive as possible is *_erms of clearly defining <br />the permit boundaries and indicating all roads or stockpile areas to be used in <br />connection with the operation. All immediately adjacent landowners must be shown. <br />The closest quarter section corner, section line, or any other locateable point <br />should also be shown oa the map. <br />E7O3IBIT D - Wildlife, Water Resources, Vegetation and Soils I.zformation <br />Each of the above-mentioned subjects must be addressed as outlined is the <br />applicable Rule, under item number ten (10). <br />ERHIBIT E - Reclamation Plan <br />?.a with the mixing olaa, this should be a general discussion of the methods, <br />equipment, phases or stages of the reclamation process and Chose portions of <br />land affected by each. If possible, the plan should be closely correlated <br />with the map. Zf no.p, the narrative must be comprehensive enough to dray an <br />accurate verbal picture of the expected physical. anpaarauce of the area alter <br />completion of reclamation. <br />E$AIBIT F - Proof of Local Government approval <br />This must be a letter From the ].~..al gavel.~mnat ipe;:lf~iag conformance with <br />existing zoning regulations. <br />E~IBIT G - Source of Legal R±~t;t to E.:ta: <br />This could be a copy of ti,e lease .ie_d, ab;a~.-cL of ,.; c: _, :,. s::.:reut cox <br />receipt. III lien thereof, a 9t: -`c:dcnt ar is i.:Y.a(t:+^C'.: Vy v ii •i l'arj p4'ril[ Ci:aC <br />the operator has the legal :igi.t co rnt~r and n:ae .li.!. ;,e accepted. <br />**FOR SPECIAL 10-DAY PESL`lITS O;ILY~* <br />ERHIBIT U - Reelamatioa Costs <br />If the surety is requested to be Leas tt:aa S25t10, the operator must submit <br />facts to support such request. Otherwise a surety o_' 52570 will aurouacir:al'_y <br />be set. <br />E.YHIBIT I - Terms of Governmental Contract <br />The operator moat submit a cony of the contract or ocher proof that proves the <br />necessity of a special 10-day per:ait. The operator must also submit evidence <br />of the surety provided under the governmental contract, lE it was required. <br />