PERMFILE71304

• Permit No: M2001068
• IBM Index Class Name: Permit File
• Doc Date: 7/3/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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FILING REQUIREMENTS:
In order to apple for a Reclamation Permit for a Rewlar 112 Operation. please provide:

~ One (I) signed and notarized completed 1 VORY ORIGINAL and four (4) copies of the completed Ivon original
Regular 112 Operation Application Forth. ORIGINAL SIGNATURES MUST BE IN BLUE iNK.
o Five (S) copies of Exhibits A-S (required sections described in Rule 6).
o Five (~) copies of Addendum 1 -Notice requirements (described in Rule 1.6.2(1)(b)). A sample of this notice is
attached for your use.
~ The Geotechnical Stability Exhibit when required by the Division.
~ The application fee.
The ninety (90) day period for review of the apphcation and exhibits will~Q- begin until all required information and fce are
submitted. The Office will then review the submitted information for adequacy.
NOTICE REQUIREMENTS:
I . You MUST nerd a notice, on a form approved by the Board, to the local board of county commissioners. A copy
oC this "Notice of Filing Application" form is attached for your use.
2. If the mining operation is within the boundaries of a soil conservation district, send a notice to the boazd of
supervisors of the soil conservation district, PRIOR to filing the application. A copy of Wis "Notice of Filing
Application" form is attached for your use.
3. You MUST include proof of notice # 1 and #2 above with the apphcation at the time the application is submitted
to the Office for filing (Rule 1.6.2(1)(g)).
4. PRIOR to filing the application, place for public review a copy of the application, less confidential items, with
the clerk or recorder of the county or counties in which the affected land is located.
5. You MUST include an affidavit or receipt demonstrating that the application was &led with the county clerk or
recorder at the time the application is submitted to the Office for filing.
6. Any changes or additions made to ao application submittal MUST be filed with the county clerk or recorder. You
- MUST also provide the OfLce with an affidavit or receipt demonstrating that the change was filed with the
county clerk or rewrder no later than the close of business on the day the change was filed with the Office
(Rule 1.8.1(2)).
7. Within ten (10) days after your application is considered filed, you must publish four times in a newspaper of
general circulation, in the locality of the proposed [Wining operation, the notice described in Rule 1.6.2(1)(d).
8. [n addition, after the fvst publication you must mail or personally serve a copy of the notice described in
Rule 1.6.2(1)(d) 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 anv recorded easements of lands that are within 200 feet of the
boundary oC the affected land (Rule 1.6.2(1)(e)). A copy of a form which includes all required information for
the notice is attached Cor your use.