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110•Per^.lt Aool it r.l fcnnt'd) <br />L:lSIRUCTIOtS: 711ts 11cat1on and all ac compan}•tnq mntcrla~must be su tnn fitted in <br />dupLtua[e. In the Interests o[ efficle nt prncessin;, -.l.:a sa inoluda <br />[aC :aila vin 'i-n .. ___~-. „_-. a. '__.tt n-..-.., _... _- PinE <br />g Snto ra. tc _ _,_.____.._, <br />7 for guidance; SpecialVlO-d ay~Perml is ,, see RULE + for guidance.^- <br />E:SHIB IT A - Legal Oeseriotion <br />The Legal descrlptien musC Sdentlfy the affected land and be wholly adequate for field <br />location of the property. It can be In the form of metes b bounds survey or a descrip- <br />t'_on by ref create to t:.vn s;,ip, range, and section, co at least the nearest quarter- <br />quarter section. Where applicable, the street address or lot number(s) my be used. <br />ERHIBIT 8 - Yinina Plan <br />This can be a general discussion of the methods, equipment, phases or stages of Che <br />operacioo and those portions of land affected by each. The plan should be correlated <br />with the map and should shoe vhera excraccioa will begin, and which direction, if nay, <br />it •x111 proceed. <br />ERkiIBLT C - Yap <br />'this map sheuld clearly define permit boundaries and indicate all roads or stockpile <br />areas to be used in eoanaetion with the operation. ,111 immediately adjacent Landowera <br />muse be shown. the quarter section corner, section line, or.aay other locateable <br />points should alsc be show on this map. <br />E~ILBIT D - WSIdIife. Water Resources. Vegetation and Soils Information <br />Each of eha above~entioned subjects mot be addressed as outlined is the applicable <br />8lJLE. <br />ECHIBIT E -Reclamation Play <br />As with the mining plan, this should be a general dissuasion of the methods, equipment, <br />phases or stages of the reclamation process and chose portions of land affected by each. <br />If poesibla, the plan should be closely correlated with the map. If not, the narrative " <br />must 6e comprehensive enough to dray as accurate verbal picture of Che expected appear- <br />.. ante of the area at for completion of raeiamaelon. <br />_ ~ ~{,a Lc IT c _ eraof of local CovetFrmenE Anoroval-6 "''J~J` <br />This moat be a letter from the local government specifoiag eenformance vi th existing <br />xaning regulations. (IC is intended that operators may obtain local government approval <br />concurrent vl th the Division's processing of the application. To do so, the oparacor <br />must submit evidence vhic6 indicates chat Local govesnment approval is currently pending <br />or will at least be considered vi thin a reasonably short time by the appropriate govetn- <br />iag body RULE 1.1(10) (Consul[ this RULE for full details on this requirement.) <br />!OIIBIT G - Source of Laaal Rlghe to Eater <br />'hie could be a copy of the'Lease, deed, abstract of title, or cur-.ant tea receipt. <br />An acceptapla alternative would be a statement acknowledged by a notary public that <br />the ooerator has the legal right Co enter and mine. <br />ExRIBIT H - Reclamation Costs <br />For a 110 permit, if the operator requests surety to be less char 52500, the ooerator must <br />submit facts to support such a request. Otherrlse, a surety of 52500 will automatically <br />be set. For all 111 permits, Che surety shall be 52500 per acre. <br />EeHIBIT I - Terms of Governmental Contracts <br />For Special 10-Day (111) Permits, the operator must submit a copy of the contract or <br />ocher proof that proves the oeeeasity of a special 10-day permit. The operator must <br />also submit evidence of the surety provided under the governmental contract, if Lt vat <br />required. <br />NOTICE PROCIDURES <br />--T~ After the application Ss considered "filed" (pursuant to RULc 1.1(10) with the Yined <br />Land Reclamation Division, notice procedures outlined in RULES 7.2 and/or 4.2 gust be <br />followed. (Forsat for such notices will be included in the letter you receive from the <br />?II.Y staff Saforning you of the completeness ("tiling") of your application. <br />.1DDITL0:7AL I:7FOZvATIOV <br />refer..4ted_E¢r f+treFeziaf~ar'on.af_-er.4! nis'~e_lteme~+! .r_hSs_ fo-n` _ ._._ <br />Z; <br />l <br />.~ <br />#' <br />+ <br />To the best of my kacvledge, all the in_'ormation presented in Chia application Ss true <br />and correct. ~ /-~ <br />BY <br />`_.. Y <br />,t 3 <br />TLILE ~4~/)~C ~!. S~ ~ <br />(Si c:led b:' find:'vi~u11 :_:~!!~: antaor- <br />i_2d :P bin7 C..e CperaCnr Co Cali <br />-_ .~... :n.1 <br />