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• • _2_ <br />tYPE OR PRIVY CLEARLY <br />14. Present land use ~mininq ~ ~ ~ ~ <br />(1.a., agrleultural, lndustrlal, etc.) <br />15. Proposed future land use NI1n i nq. wil Al ' fP ~ - Prr d !find! <br />(Coal o! reelamaclom) <br />INSTRUCTIONS: 1'hia applies[ ion [ore wsc ba tubeitted !n dupl Seat• amd each form mat <br />ba aetompanied by the fo11ov1ng lnformac ion and items. Tha applleatlon <br />viii not be processed until comp lace. Sea RULE 3 (for Lim! tad Impact) <br />or HULE 4 (for Special 10-day) for additional 6uidanca. <br />CAIIDIT A - Lazal Descrlp [Son <br />Tha legal descr ip cion wet !dent ify cha affected land and ba wholly adequate for <br />field location of the property. It cam be !m th• torn of mates and Dounds survey <br />or a duerlptlnn by nlerenea to tavnahip, range, and section to at lout cha <br />nurut quartai quarter aaetion. Where app! stab la, the atsu[ addreu or lot <br />n~s6ar (a) auy be uud. <br />EXRIDIS D - tifnimR Plan <br />ibis can ba a general dlocun lom o[ the arthod s, equipment, phuu or otaga• of <br />the spare[ ion and those portloea of land ^[[aeted by Bath. The plain should b• <br />closely eorrelaced with the map and should show where eztraet loin will begin, which <br />directfom it will proceed. <br />E7CHIDIT C - Nay <br />Ihla map should be as comprehenalva as poaslb la !o terms of clearly da[!ning <br />the permit boundaries and Sndlea tang all roads or ^toekpile ^reaa Co Da used !n <br />comeetion with the operation. All Smmediately ad~acant landovnara mat bs shove. <br />The eloteat quarter seccien corner, ^~etlon line, or any other loeateabl• po ins <br />should also b• shown on the sup. <br />E7CRIDIT D - YSldllfe. Ynter Reaourcea. VeRetat ion and So Lla In Cormatlon <br />Each of the above-mentioned sub~aeta moat be addressed as ou[llned Sn the <br />applicable Rule, under item number Cen (30). <br />EAfIDIT E - Aeclamatio¢ Plan <br />N with the mining plan, Chia should ba • geaaral discuss loo of the methods, <br />equipment, phases or stages of the reelasu[ion process and these portions oL <br />land affected by each. If pose able, chs plan should ba closely correlated <br />with the map. If not, the ,urrat Sve wet ba eom{+rehena ive enough to draw an <br />secure to verbal picture of [ha azpee ted physical appearaaee of the area after <br />toaryletlon of reclamation. <br />EXHIBIT P - Proof o[ Iocal Covarment Approval <br />Thin mat ba ^ letter from cha local government apeeifyiag eonformanca with <br />aria tang coning .re RUla [lone. <br />EXHIDIT G - Souris o[ Leaal Right co Enter <br />This [scald be ^ copy of the lease, deed, abstract of title, or current tar <br />rote ipt. Ia lieu thereof, a statement •eknovledged by • notary public ChaC <br />the operator has the legal right to enter and eiaa will ba aeeeD tad. <br />•*FOR SPECIAL 1O-DAY PERHITS ONLY*a <br />EXB IBIT R - Reclamation Costa <br />If the surety 1a requested to ba lets them 52500 [he operator mot submit <br />face to support oath regwat. Otharvlse acy of 52500 will autosutieally <br />ba tot. <br />EXHID IT I - Terms of Coveromental Contract <br />Tha operator wet submit a copy of cha contract or ocher proof that phove^ the <br />necessity o! ^ spec ial 10-day permit. Ifie operator wet also submit evidence <br />of the surety provided under [he govetnmen [al coo tract, Sf 1[ vas required. <br />