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PERMFILE66267
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PERMFILE66267
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Entry Properties
Last modified
8/24/2016 11:12:09 PM
Creation date
11/20/2007 9:14:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979192
IBM Index Class Name
Permit File
Doc Date
10/24/1979
Doc Name
LIMITED IMPACT 110 & SPECIAL TEN DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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IIO Permit Soolica:ion (ccnt'd.) <br />I4. present land use ii.e., agri- Vricul.tural with special use~~ <br />cul ;u ral, locus; rial, etc,) ts...T ~ -e -_~ -_~ _ - <br />IS- Provasev tutu re land use ~ReturR to <br />(Goal of reclamation) I <br />. .-~ <br />I;ISTEUCTIOXS: This apolicacien antl all accomoanyiag not erials oust be suvmi Iced in duolica m. <br />In the tote rests of efficient vroce5s;na, please include the folloring informa- <br />:,on i ite"ts. Limi ;ed Imoact Operations, see RULE }ror guidance; Sxcial 10- <br />cay Pe nni ;s, see RULE 4 for cut dance. <br />EX91BI` A - Leval Jesc rioN on <br />The legal cescriocion must identify the of fec :ed land and Se vi+olly adeova [e far <br />field location of the grape rty. I[ can be in ;ne form of -eces L Sounds survey <br />rr a descrio[ion by reference ;o :ownsh ip, range, and section, co ac least :he <br />.areas auarce rgua rcer section. vhe re aDPlicable, [he street address or lo[ <br />:. wnce ri s~ may •be used. <br />~XH191i c - r.ininv Plan <br />This can be a cene ral discussion of ;he *e mods, a:uipmenL. :bases or staves of ,he <br />operation and t.`.ose :o rtions of land affected Sy Boon. The plan should be <br />co rrelaced +i th :he map and snou ld show +he re exzrac ci on will begin, and rhich <br />dlreciion, if any, it +ill proceed. <br />EXp IBI- C - nao <br />This moo should tl ea rly define pe rmi; Seunda rtes and indicate all roads Or steckvi le <br />areas ;~ be used in connection ai cn the ox ration. A1I irmediaceiy aaj acertc Ianaowners <br />must be ~s hos+n. The uua rcer section corner, section line, or~any ocher locacea6le 7oi r.;s <br />mould also be shorn on :his .nap. <br />EXHIBIT ? - 'Ji ldlife. Va ter a.esou rc es. Yevetaci on and Sei is In for-anon <br />Each of the abev<-mentioned subjects must Se addressed as outlined in [he apDlicaple <br />RUL_- <br />EXH191T -c - Reclama [ion Plan <br />As ~ri :h .he .~; ning :Ian, :his should be a general discussion of the met neds, evui:me nL, <br />phases ~or sza acs of the reclamation process env :base po r. ions of land of fec;ed Dv each. <br />If oossiSle,:;ne 71an should be c!cseiy correlated ~+i :h ;ne moo. ` not, :ne nor-acive <br />must sa cano rehensive enouvn m draw an accurate verbal picture of :he exoec:ed apvear- <br />ance of the area after comolecion of reclamation. <br />EXX191T F - vrcof o` Local Sove rnmnc sto royal <br />This rust ve a le [ter from :he local y^ove rnmen.t sveci fying conformance wi ch eat sling <br />tonin5 reguiacivns. (It is incendev chat ooe ra mr's may ob Cain local government aop ro val ,- <br />concurrent rich the Oi vision's vroc es sing of :ne application. To do so, the ooe racor <br />must submit evi Bence ,rni ch indi ca ces :hoc local <:ovt. ego royal is cu rren Lly :ending <br />or rill at leas[ be considered ~ri ;nin a reasonably short time 6y ;h.e ago rvori ate . <br />governing body. .RL'lE 1.1(10) (Consult ;n is RULE for full details on [his revui remenc.) <br />E:iH 197T G - -->ovrca of !coal Ri cht to rn ter <br />This could be a cony of the lease, deed, avs trot: of zi tle, or current tax receiv t. <br />An acceo [a61e alternative ~.ould be a statement acknorl edged Sy a no Cary public coat <br />the ope rata has the legal right [p enter and mine. <br />EXHIBIT !! - .Reclamati Cn Gos is ' <br />If :ne su re[y is recuested ;o ``-e less Chan 52500, the ope racor muse submit fa c;s co <br />wppor: sucn a reoues:. Otnerv.i se, a surety of 52560 ui li aucomaci tally be set. <br />•+'a FOR >-EC1AL 10-DAY (111) PE Rr11 T5 ^-XLY +'~* <br />E%HIBIT 1 - Ts rms of Governnxencal Contract <br />For Special t0-?ay (111) Pe mi ts, the ove rotor niusc submit a copy of the contract or <br />o;her proof ,ha: proves ;he necessi;v of a soeci al 10-dav permit. The ooe racor .rust <br />also submit evidence of [he su recy provided and e.r one governmen tai contract, if is +as <br />required. <br />NOTICE PvCC E?ORES <br />After [ne aooiicaci on is cons; de red "`fled" {Pursuant :: RULE I.I (.0) wi to the ;lined Land <br />'tclama[i on Ji vision, noci to procedures outlined in RULES }.2 ,/or 4.2 rust Se fellow•ed, <br />(Fa rmat for such noci ces will be included in zhe letter you receive `rcm [he Y.LR sta f! <br />informing you of the :.omplecen ess ("filing") ai' your application. <br />ADDIiI CIIAL Ie1F!IRMATI ON <br />This space can Se referenced for fur ;ner info r:.ution of any of ;he items on this ao r^l. <br />'io the best of vn 4no.ledge, all the information Presented .n : :ppiica [ion is ;rue <br />and correct. ~ //~/J% <br />BY ~'U/s' ~t-~ <br />7I TLE_~~L~ i <br />'.S~gnep pv iv:oual Itca,ly aucnor- <br />i2ea co Y,Ifta t]e oee racor :o ;hi! <br />appliCd ClCn.) <br />
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