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-u- FILING REOUI1tEMENTS: In order to apply for a Reclamation Permit for a Limited Impact Operation, please provide: o One (1) signed and notarized completed IVORY ORIGINAL and one (1) copy of the completed Ivy original Limited Impact Operation (110) Application Form. ORIGINAL SIGNATURES MUST BE IN BLUE INK. _ o Two (2) copies of Exhibits A-J and Exhibit L (required sections described in Rule 6). o Two (2) copies of Addendum 1 -Notice requirements (described in Rule 1.6.2(1 xb)). A sample of this notice is attached for your use. o The Geotechnical Stability Exhibit when required by the Division. o The application fee. The thirty (30) day period for review of the application and exhibits will ~Q begin until all required infomtation and fee are submitted. The Office will then review the submitted information for adequacy. _ I . Yon MIDST send a notice, on a form appmved by the Board, to the local board of county commissioners. A copy of this "Notice of Filing Application" form is attached for your use. 2. If the mining operation is within ~e boundaries of a sort conservation district, send a notice to the board of supervisors of the soil conservation district, PRIOR to 51ing the application. A copy of this "Notice of Filing Application" form is attached for your use. 3. You MUST inchule prcof of notice #1 and #2 above with the application at the time the apphcation is sabmi[ed to the Office for Sling (Rafe 1.6.2(1)(8)). 4. PRIOR to Sling the application, Place for public review a copy of the application, less confidential items, with the clerk or recorder of the ce~ry or ceunties m which the affected land is located. 5. You M[JST include an affidavit or receipt demonstrating that the application was Sled with the cemry clerk or recorder at the time the application is submitted to the Office for filing. 6. A~ changes or additions made to sa application submittal MUST be 51ed wilt the county clerk or recorder. You MIDST also provide the Office with mm affidavit or receipt demons~ating that the change was filed with the county clerk or recorder no later than the close of business an the day the change was filed with the Office (Rule 1.8.1(2)). 7. Nithin ten (10) days after yom application is considered filed, you must publish once in a newspaper of general circulation, m the locality of the proposed mining operation, the notice described 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 mad or personally serve a copy of the notice described in Rule 1.6.2(1 Md) to all owners of record of surface tights 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 (Role 1.6.2(I)(e)). 9. Prior to the Office making a decision (consideration of the application), you MUST 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 retain receipts of a certified mailing or by proof of personal service (Rules 1.4.1(4), 1.4.2(4)(c), 1.6.2(ixa)(ii), and 1.6.2(1)(g)). The copy of the application and a~ changes or additions placed at the office of the county clerk or recorder shall NOT be recorded, but shall be retained there far at least sixty (60) days after a decision oa 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)). _ ,