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-11- FILING REQUIREMENTS: In order to apply for a Reclamation Permit for a Limited Impact Operation, please provide: ° One (1) signed and notarized completed ORIGINAL and one (1) copy of the completed original Limited Impact Operation (110) Application Form. ORIGINAL SIGNATURES MUST BE IN BLUE INK. l ° Two (2) copies of Exhibits A-J and Exhibit L (required sections described in Rule 6). ~.~/ ° Two (2) 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 thirty (30) day period for review of the application and exhibits will NOT begin until all required information and fee are submitted. The Office will then review the submitted information for adequacy. ~I~iC'/ 1. You MUST send a notice, on a form approved by the Board, to the local board of county commissioners. A copy of this "Notice of Filing Application" form is attached for your use. `9~LJ 2. If the mining operation is within the boundaries of a conservation district, send a notice to the board of supervisors of the conservation district, PRIOR to filing the application. A copy of this "Notice of Filing Application" form is attached for your use. ~~ 3. You MUST include proof of notice #1 and #2 above with the application 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 iterns, 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 filed 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 an application submittal MUST be filed with the county clerk or recorder. You MUST also provide the Office with an affidavit or receipt demonstrating that the change was filed with the county clerk or recorder no later than the close of business on the day the change was filed with the Office (Rule 1.8.1(2)). ~(J 7. Within ten (10) days after your application is considered filed, you must publish once in a newspaper of general circulation, in 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. ~U 8. In addition, after the 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 any recorded easements of lands that are within 200 feet of the boundary of the affected land (Rule 1.6.2(1)(e)). ~i~ 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 return receipts of a certified mailing or by proof of personal service (Rules ].4.1(4), 1.4.2(4)(c), 1.6.2(1)(a)(ii), and 1.6.2(1)(g)). The copy of the application and any changes or additions placed at [he office of the county clerk or recorder sha1lNOTbe recorded, but shall be retained there for at least sixty (60) days after a decision on the application by the Office and be available for inspection during [his period. At the end of this period, the application maybe reclaimed by the applicant or destroyed (Rule 1.6.2(2)).