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110 Pe rmi[ ADOlica[ion (con <br />14. Present land use (i.e., agri- <br />tultural, industrial, etc.) <br />IS. Propo set future land use <br />(Goal or reclamation) <br />dd (~t-ave~ ~; <br />vLT /Vd ~-- <br />U L 7~ t~ V a I- <br />ItlS iRUCiI Ot($' This application and all accompanying materials mn : be subnittad in duplica C°. <br />In [he irate rests of efficient proce5iinp, please include the follo:,i rag informa- <br />[icn E i L'ms. Limited Inoac[ Operations, see 5ULE 3 far guidance; SFecial 10- <br />day Permits, sae ?U LE 4 for guidance. <br />E ~11191T 4 - !coal De scriction <br />The legal descril: tlcn oust iden[if:• the affected land and be s+Folly adequate for <br />held Iecation o` [LC prc oe rty. I[ can to in [he form of metes & bounds su rvev <br />or a description by rrferpnce m to>m sh io, range, and sec[icn, [o a[ Teas[ the <br />nearest aua rte r-p ua r[?r section. 'ehe re applicable, the street address or lo[ <br />numhe r(s) may he used. <br />EiH 1917 d - .`lini'p Plan <br />This can be a au ne ral discussion of th=_ methods, equipm?rat, phases or stapes of [he <br />operation and ;h,;~;e =cr[inns cf land affectad by each. The plan should he <br />co rre7a t^_d .,i oti the r•ap and sn nuld sno+~+ woe re ex[rac[i on will Legin, and 'which <br />direction, if any, it wil' proceed. <br />E Y.HIRIT C - 9au <br />This map should clearly define pe rmi[ Loundaries and indicate all roads cr stockpile <br />areas to be used in connection •.vi [h the opera[%on. A!I inxnedia [aly aoj acen[ laneo'nners <br />must be shown. The uuar oar Section corner, section line, o r any other locateable points <br />,M,, old also Lr~%ro;.n on [his map. <br />E%H161T G - Wildlife, '.lat?r F,es arc es. 4epetati on and foils In`crmati on <br />cats of the at ove-mender?d subjects oust be addressed as outlined in the applicable <br />::ULE. <br />E Y.H I51T E - °?clamati en Flan <br />As with the mining clan, [his should be a general discussion of ;he methods, equionent, <br />pha se5 or stares of cue r?clamation process and [nose portions of land affected by earn. <br />If po ssiSle, the plan should he closely correlated with the nay. If not, the na rra[ive <br />must be comprene~s ive enough [o dra.+ an accura [e verbal picture or the expected appear- <br />ance of the area a`;_r couple[ion of reclaration. <br />EXHIGIT F - Proof of Local Government App royal <br />This must oe a letter from 'he local government specifying ccnfo rnance ~.+i th exi sling <br />zoning r?gulatieps. (I[ is intendee roar toe retort ray oora in local gave nnen: aroroval <br />concurrent with [he Di yinion's processing of me apDiica[ion. io do so, the eoera wr <br />must submit evidence which ir,d Ica [ea t`~a[ local pout, approval is eurren[le peM Iraq <br />or will at leas; oz considered ~.,i [h in a reasonably short rice ay the approori at? <br />r, o•:e rn inn body. .RULE 1,1(10) (Consul[ .his RULE for full details on this requi repent.) <br />E%HIBIT O - Sourca of Le Hal 'r,i cht to Enter <br />Thi; could be a cap'! of ne leas?, deed, aSs[rac: of [i ;le, or current tax receipt. <br />A.n acceptable al ;erna[ive would b? a s[a[e¢ent ac4n c'.+I edged by a nc to ry public [oat <br />the tae ra [or has th=_ legal right to er.[er and ni r.e. <br />T H - Reclamation rps Cs <br />If the surety is requested tc be lest than $2500, the operator .Host submit facts to <br />support such a req ua st. Clthe rwise, a su re [y of 52500 will au[pma[ically h? set. <br />=' FOR $PECIP.L IO-DAV (III) PERMITS ONLY +'~~~~ <br />E ~H 1617 I - Terms cf Soyernmental <br />For Special i0-Day (111) Pe rmi [s, [he operator must submit a copy of the contract or <br />other proof that proves -ne necassity cf a special 10-day permit. The opera [or must <br />also submit evidence of _ne surety provided under [he gcve rn mental contract, if i[ e+as <br />required. <br />NOTICE aROC EDU RrS <br />a'[er [he application is con;ide red "filed" (pursuant a 4L'LE I.I (10) xith [he Ained Land <br />:?r.!amatipc Ciyision, nC:.ice pro cepures outlined in .'.L LE$ 3~2 /or 4.2 must 6e followed. <br />IEO Cra[ for such optic?, jai 11 be in: hided in the letter ~:ou receive from [he ML.4 ; Wff <br />informinn vcu of the coopleten ess ("fil icg"! of your aFolicat~on. <br />F=~OITIC~I.V. !9F^_RMA'f; 0`I <br />This space can be ref=rented for further info raa:ion of any of the items on [his form. <br />Tc the `_es[ of any kn oo-,l cd0=_, all thre in ferration presto in [his aFFlication is [rwn <br />anJ correct. /F ~ r <br />BY ` <br />TI7LE <br />$~capd v Ind i~'Jual lepai y author- <br />izad m Sind [hc one ra [or [o [his <br />application.) <br />