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IIU Pr Hale _1 ,l ~~l lr.+tlon (cnnt'J) . IN51'RUCTIOPS: 'I'bis application all accowpanylnr,•mnccrlals must be •mlcceJ in Jupllcatc. In the tereSCS of efflcleut pt•ocusslnq, phase Seclude the Collovin3 lnortatlon ~ Stc;a;.. Lir,.ltcd It;pact Opc:c t'.cna, .a °.L'^_°_ i .. 7 for guiJance; Special 10-day Permits, see RULE w for gulJuuce.r CXIIIOIT A - Legal Description Tl+e legal description must SJenClfy the affected land and be wholly adequate for f1e1J location of the property. IC can ba Ftt the form of me tea d bounds survey or a Jescrip- ~.~~ Lion by reference to township, range, and section, to at lens[ the nearest yuarter- ~' quarter section. I.ytere applicable, the arrest address ar lot number(s) my be used. EXHIBIT B - llSning Plan ~ ~ ~ ~ - ~ ~ ~ ~ ~ ~ ` ~~ ~~ ~ ~~ This can be a general discussion of the methods, equipment, phases or stages of Cite operation and those portions of .land affected by each. Tyre plan should be correlated with the map and should ahoy where extraction will begin,;and which direction, LE any, !t will proceed. EXHIBIT C - Map ~ ~ ~ ~ ~ ~ ~ ~ ~ ~.. This map should clearly define petit boundaries and indicate all roaJs or stockpile. . areas Co be usuJ Ln connecttuu uiCh the opuraClott. .111 SnunaJiatuly aJJuc mtt lanJow+e rs ~ .. must be shown. 11+e quarter section corner, section line, or any otlter.locataable ~ ~~ ~~ ~_ paints should ales be shown on.ehis map. EXl1IBIT D - lilldllle, Barer Iicsources, VeRatatlon and Sulls Iufotatlon ~ ~. ~ ~ ~ . Eaclt of cite above-mentioned subjects must be addressed as outlined in elte applicable RULE. ~ ~ ~ .. EXHIBIT E - Reclamation Plan ~ ~, ~ .~ As with the mining plan, this should be a general discussion of the methods, equipment, ~. phases or stages of the reclamation process and those portions of 1anJ affected by each. "~., ~ ~ .~ If possible, the plan should be closely correlated with the map. If not, the narrative ~ ~ '~ ~' ' muse be eomptet+enalve enougl+ to draw an accurate verbal picture of the expected appear- .~!~.~ ~ ~' anco- of the area after compiacion of reclamation. ", '', ~1 .. EXf1IBIT F - Proof of Local Government Approval ~ ~ ~ ~ ~ '~ Tltia must 6e a letter from the local government specifying conformance with existing ~~ "zoning regulations. (It Ss intended that operators may obtain local government approval „~',,`~:~';- _ ,~ concurrent with Che Division's processing of the application. To do so, the operator I must submit evidence vltich indieatas tl+at local government approval is currently pettding~ .; or will ac least ba considered within a reasonably short time by Che appropriate govern- '~' •.. ~i ~; ~•:~; ~~~.. ing body RULE 1.1(10) (Consult ChJ.e RULE for Eull details an this requirement.) - EXIIIBIT G - Source of Legal RSght to Enter ~ ~ ~ ~ ~ ~ ~ - This could be a copy of the' lease, deed, abstract of title, or current tax receipt. ~ ~.. An acceptable alternative would be a statement acknowledged by a notary public that ~. the operator has the legal right to enter and mine. ~,- EXIIIBIT H - Reclamation Costs ~ ~ .. ~ ~. .. Far a 110 permit, if the operator requests surety to be less than $2500, the ooeratorvust~~ ~eubmit facts to support such a raquesc. Otherwise, a surety of 52500 will automatically '. ba set. For all 111 permits, rite surety shall be 52500 pee acre. EXIIIBIT I - Terms of Covertwuntal Contracts For Special 10-Day (111) Permits, the operator must submit a copy of the contract or other proof t1+aC proves tl+e necessity of a special 10-Jay permit. Tl+e operator must ~~ . also submit evidence of the surety provided under the governmental contract, !f it vas • required. NOTICE PROCEDURES After the application is considered "filed" (pursuant to RULE 1.1(10) with the ;tined ~ ' Land Reclamation Division, notice procedures outlined in RULC•S 7.2 anJ/or 4.2 must be ~ ~ ~ ~~~ followed. (Format for such notices will be included in the letter you receive from ti+e ~~~ . MLR staff inEoting you of the completeness ("filing") of your application. ' ~ ~ ADDITIONAL INFOQMATION ~ ~ ~ ~ ~ . Thlsepace can ba referenced for further information of any of the Lteme on chic form. . To the best of my knowledge, all~tha information prseented Ln this application.ls true and'corrset.` • "TITLE ( /Jl1/ifirrrL,.~ . ~ ~ ~ (Signed by LWIviJual la;nll y author- '~r ~ ~ ~ ~ ~ ~ ~, ~ ~ ~ ~ ~irOJ c4 binJ thu opuracor to this _ .'