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-z- FII,ING REOUIIIEMENTS: In order to apply for a Reclamation Pemri[ for a Limited Impact Operation, please provide: c One (1) signed and notarized completed IVORY ORIGINAL and one (1) copy of the completed I~ original Limited Impact Operation (110) Application Form, ORIGINAL SIGNATURES MUST BE IN BLUE INK ~ Two (2) copies of Exhibits A-J and Exhibit L (required sections described in Rule 6). c Twa (Z) copies of Addendum 1 -Notice requirements (described in Rule 1.6.2(1 xb)). A sample of this notice is attached for your use. c The Geotechnical Stability Exhibit when required by the Division. _ ~ The apphcation fee. The thirty (30) day period for review of tbe application mmd exhibits wiIl ~ begin until all required information and fee are submitted. The Office will then review the submitted information for adequacy. I . Yon M[JST send a notice, on a form approved by the Board, to the local board of county ro~~ioners. A copy of this "Notice of Filing Apphcation" form is attached for your use. 2. If the mining operation is within the boundaries of a sorT conservation district, send a notice to die 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 inchrde 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 ~ fide~risr items, with the ck:dc or recorder of the commty or counties in which the affected land is located. 5. You M[JST include mm affidavit or receipt demonstrating that tbe application was filed will[ the county clerk or recorder at the t®e the application is submitted to the Office for filing. 6. A~ changes or additions made to mm application submittal M[JST be filed with the county clerk or recorder. You MUST also provide the Office with an affidavit or receipt demonstrating that the change was Sled with the county clerk or recorder no later than the close of business on the day the chmmge was filed with the Office (Mule 1.8.1(2)). _ 7. Within ten (10) days after your application is considered filed, you must publish once m a newspaper of general ca+cnlatioq m the locality of the proposed mining operation, the notice desmbed in Rule 1.6.2(1)(d). A copy of a form which includes all required information for the notice has been attached for your use. 8. In addition, after the publication you must marl 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 are within 200 feet of the boundary of the affected land (Ante 1.6.2(1)(e)). 9. Prior to the Office making a decision (consideration of the application), you MIDST submit a copy of the proof of publication from the newspaper and proof of all required notices. Proof of the notices may be by submitting copies of return receipts of a certifed mailing or by proof of personal service(Rules 1.4.1(4), 1.4.2(4)(c), 1.6.2(1)(a)(ii),mmd 1.6.2(1)(8)). The copy of the application and any changes or additions placed at the office of the county clerk or recorder shall NOT be recorded, but shall be retained there for at least sixty (60) days after a decision on the application by the Office and be available for inspection during this period. At the end of this period, the application may be reclaimed by the applicant or destroyed (Rule 1.6.2(2)).