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PERMFILE108240
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PERMFILE108240
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Entry Properties
Last modified
8/24/2016 10:00:41 PM
Creation date
11/24/2007 4:28:58 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979102
IBM Index Class Name
Permit File
Doc Name
LIMITED IMPACT 110 & SPECIAL TEN-DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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110 Permit Application (con t'd.) <br />14. Present land use (i .e., agri- <br />cultural, indastr.ial, etc.) , <br />~:~ 1' <br />15. Proposed future land use.,. ~~~~` ._a; . <br />(Goal of reclamation) ~ - <br />INSTRUCTIONS:. This application and all. accompanying maEariais rest bs submitted in duplicate. <br />In the interests of efficient processing, please include the following informa- <br />tion 6 items. Limited Impact Operations, see RULE 3~for gyidanee; Special 10- <br />day Permits, see RULE 4 For guidance. <br />EXHIBIT A - Legal Description <br />The legal desert pion must identify the affected land and be wholly adequate for <br />field location of the property. It can be in [he form of metes s bounds survey <br />or a description by reference to township, range, and section, to at least [he <br />nearest quarter-qua rcer section. Where applicable, the street address or lot <br />nuube r(s) may 6e used. <br />EXH161T B - Mini Plan _~ i ~ `v - ' '" <br />r This can be a general discussion of the methods, equipment, phases or stages of Che <br />~oPeretlon and ttu]se portions of land affected by each. The plan should be <br />~. __ cot related with the map and should show where exerac[iM will begin, :and which <br />di recGion ,~iT a7iy,it~TT proeeep-- - - -~.- - __-- ___ <br />~,~ EXHIBIT C - Map <br />this map should clearly define permit boundaries and indicate all roads or stockpile <br />areas to be used in connection with the operation.. Al vi mmediately adjacent landowners <br />must be Shown. The yua rcer section corner, section ltf, or-any other Iota teable points <br />r should also be shown on [his map. <br />~~ EXHIBIT D - Wildlife, Nater Resources, Yegetati on and Soils Informetton <br />'. Each of the above-nxntloned subjects must be addressed as outlined in the applicable <br />RULE. <br />EXHIBIT E - Reclamation Plan <br />As with Ghe mining plan, this should be a general discussion of the methods, equipment, <br />~ phases or stages of the reclamation process and those pa rtions of land affected by each. <br />If possible, the plan should be closely correlated wi [h the map. If not, the narrative <br />Imist be comprehensive enough to draw an accurate verbal picture of the expected appear- <br />~~ ante of the area after completion of reclamation. <br />j EXHIBIT F - Proof of Local Government Approval <br />~. <br />' .This must be a letter from [he local <br />government specifyl ng conformance with existing <br />~~ zoning regulations. (IC is intended that operators may obtain local government approval <br />j~ concu went with the Division's processing of the application. To do so, [he operator <br />must submit evidence which indicates that local govt. approval is cu rrentiy pending <br />or will a[ least be considered within a reasonably short time by the ;appropri ate <br />f yove ruing body. .RULE 1.1(10) (Consult; this RULE for full details qn this req ul rellwtt •) <br />EXHIBIT G - Source of Legal Ripht to Enter <br />f <br />j This could be a copy of the lease, deed, abstract of title, or current tax receipt. <br />An acceptable alternative would be a statement acknowledged by a notary public that <br />the operator has the legal right to enter and mine. <br />f. <br />' EXHIBIT H - Reclamation Costs <br />r' <br />If the surety is requested to be less than $2500, the operator must submit facts to <br />' support such a request. Otherwise, a surety of $2500 will automatically be set. <br />. **+' FOR SPECIAL 10-DAY (111) PEFW ITS ONLY *** <br />EXHIBIT 1 - Terms of Governmental Cont tact <br />For Special 10-Day (I lI) Permits, the opt rater must submit a copy of the contract or <br />other proof that proves the necessity of a special 10-day permit. The operator must <br />I also submit evidence of the surety Drovided under [he governmental contract, if it was <br />required. <br />NOTICE PROCEDURES <br />After the aPPlicati on is considered "filed" (pursuant to RULE 1.1 (IO) with the Mined Land <br />Reclamation Division, notice procedures outlined in RULE$ 3.2 6/or 4..2 must be followed. <br />(Format for ouch notices will 6e included in the letter you receive from the MLR staff <br />informing you of the completeness ("filing").of your appl leation. ' <br />ADDITIONAL INFORHATI ON <br />"L. . <br />To the best of my knowledge, all the information presented in this applica [ion is true <br />and correct. ~h a a <br />i1TLE <br />~'~~~~~~ 'i Sn~lE.`; `a"°~~ ~ 51 gr1 lry in iv,dual <br />~ T%" ~ c ized bind [he operator <br />..., .,,.yy~ ~~~~,.. ... ~..:'~.~,:i's]~~i aPPI Lipp, <br />*--"' <br />-~--~~>< <br />GK...J. I q 7 u <br /> <br /> <br />i <br />'~kY <br /> s <br />'/ <br /> <br /> <br />This space can be rsfe rented For further information of any of the items on this form. <br />
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