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<br />a ~It,Aapllutlon (conl'A.)
<br />~~ 1~t- Prlefent' land use U.e., agrl- Graze Land
<br />(~. cultural, Industrial, etc.)
<br />I• .
<br />~~ ~ I5. Proposed future lend use Return to oresent_t,a~
<br />II (Goal of reclamation)
<br />INSTRUCTIONS: This apDlleatlon and all aeeompanving mat!rlols must to sunv tted in Junlieate.
<br />In the Interests of efficient processing, please include the fclln.+i ng infOrma-
<br />[IOn 6 Items. limited Impact Operations, sec '.ULE 3 for .Tuidance: Svaci al 10-
<br />day Pa rmlt s, sec RULE k for nui~fancc.
<br />EXHIEIT A - Lenal Descri~otion
<br />-.}ha legal deserlpllon nail[ Identify the affectrd land and hr wholly adeouate for
<br />~: field lOCatlon of the grope r[y. I[ can be in the form of metc5 v bounds survey
<br />~Or a desert pt ion by reference to to.+n shin, ranee, and section, to at least the
<br />~nelrest quarter-quarter section. Vhere applicable, the street address or lot
<br />number (f) may be used.
<br />EXHIEIT E - Ninino Plan
<br />~ This can be a general dlsdusslon of the methods, ^_quipment, phases or stases of the
<br />operation and [hose portions of land affected by each. The plan should Se
<br />I •. Correlated with the map and should show where extrac [i on will begin, and which
<br />I direction, I( any, It will proceed.
<br />~~~ EXHIEIT C - NaD
<br />TAIa clap should clearly de/1 ne Dl rmlt bounds rtes and Indicate ell roads or stockpile
<br />( areas to ba used In connection with the ooe ration. All immediately adjacent Ian do~~mers
<br />~~~ aloft be fhown. The Vwrter section corner, section line, or any other Iota [cable coin [s
<br />,~ should also be shown on ehls map.
<br />(,
<br />EXHIEIT D - Vlldl lfe, water Resou rtes. Veeetation and Soils Inlcr Kati nn
<br />Each of the above-mentioned subjects must be addressed as outlined in the applicable
<br />! RULE.
<br />: EXHIEIT E - 0.eclamatlon Plan
<br />~.: .
<br />~~Aa wl th the mining plan, this should be a general dtscusslon of the methods, rpuioment,
<br />phases or ftagef of Che reclamation process and those oe rtions of land aF/acted by each.
<br />~.~ If pofslblt, the p 4n'~should be closely correlated with [he ado. If not, the narrative
<br />t, asaft be Comp rehenf lvt enough to draw an ace orate ve rbat oiclure of [hc es.ccc;cd apncar-
<br />' Inca 0/ tht area after completion of reclamation. '
<br />i F,'
<br />)
<br />I~ E1fHI01T F - Proof Of Local Gove rnmrnt An:+rnval
<br />j ,This must be a letter from the local government wecifying conlnraanee with exi r.inq
<br />Xon log regulations. (It Is Intended [het toe razors may obtain local gnvrrnrevt approval
<br />.(" concurrent with the Dl vl slop's processing of the application. To do so, the eoera mr
<br />~I,' calf[ submit evidence which indicates that total r,ovt. goo royal i; _ur raptly oc nd ins
<br />,j. ~ or will at least be topside red within a reasonably short time by the aoornoriare
<br />1„ Bova rning body. .RULE I.I (10) (Consult [his P.U LE for full ac tails on [his -coot rcnen[.)
<br />~':~ '
<br />;\~ EXHIEIT G - Source of Legal Pi nh[ to rn ter
<br />This could be s copy o/ the Ilase, deed, abstract pf tl tlr, nr nir r•nt tax Ircrio t.
<br />'~~~ An aeeeptable al[ernatlve mould be a statement acknowledged by a notar+ public that
<br />{{ the operator hef the legal rich[ to enter and mine.
<br />F
<br />;;~.. EXNIE IT H - Racllmatlon Lofts
<br />{d :.
<br />+~•~ ~If tM surety Is requested to be less than 52500, the ope rotor -+ust submit facts to
<br />;I support such a request. Otherwise,. a surety of 52500 will au [omatically 6n sr. t.
<br />f•s~fOR SPECIAL 10-DAY (III) PERMITS OILY ~"
<br />I(~~. EXHIEIT I - Terms of Gave rnmental Cont rest
<br />i
<br />, i,
<br />For SDecl al 10-Day (111) Permits, the operator r:u;t submit a co oy of the contract or
<br />/'~' other proof that proves the pace ssi [•! of a special 10-day oc rmit. The ooe rotor must
<br />~~ ' also submit evidence of [he sure[ rovl dad under the
<br />y p gove roman ;al contract, if it was
<br />~: .~ requl red.
<br />' `lOTILE PROCEDURES
<br />After the epDlleatl an Is [onside red "/i led" (pursuant to RULE 1.1(10) .+i th the nin!J Ladd
<br />a'„~'AeeT Omatlnn DI v1sICn, nON c^ n•need ore: natlired 'n Rtn :S 3.2 •, /,ar 1,,; ~„i.• ~- F,I L..,
<br />:.a .
<br />(Format for such notices -:i 14 b.e includ+_d i the letter yea r!e:i vc frG~ U~,u I"L9 :: a•'!
<br />Informing you of the completenrrs ("filing'•) of your aavlica ti o~~.
<br />ADD I T I ~llal I NFDP MIT I DII
<br />Thlf !pace Can ba referenced for fu r[hCr information o/ any Of the iter.s on this forte.
<br />This mining operation may be used for less._than 16.0___
<br />days per year depending on local winter conditi_ons,_--_-
<br />fo the best of my knowledge, all the
<br />and co crate.
<br />I- _ _ ... _. __.- ~_ .-._
<br />Information presrn Cod in [his nuolit.,[j~Crt"h( rru'
<br />By __O lv/
<br />~._-_. IC.--___ _ __
<br />~.i n,~.:l i•+ ~ I.•+. n,.~l L. 1:,111 ~nhnr-
<br />I1eJ [o bind she npc rotor to ibis
<br />appllCatiOn.)
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