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., • INT CLLAItLY • lh. Present land use Irrigated pasture (i.e., agricultural, industrial, etc.) 15. Proposed future land use Irrigated pasture (Goal of reclamation) INSTRUCTIONS: This application form must be submitted in duplicate and each form must be accompanied by the following information and items. The application will not be processed until complete. See RULE 3 (for Limited Impact) or RLZE 4 (for Special 10-day) for additional guidance. EXHIBIT A - Legal Descrio[ion The legal description must identify the affected land and be wholly adequate for field location of the grope=ty. It can be i.n the form of metes and bouctds survey or a description .by reference to township, range, and section to at least the nearest quarter quarter section. ldhere applicable, the street address or lot number(s) may be used. EXHIBIT B - I4inin2 Plan This can be a general discussion of the methods, equipment, phases or stages of the operation and those portions of land affected by each. The plan should be closely correlated with the map and should show where e:ctraction will begin, which direction it will proceed. EXHIBIT C - "tan This map should be as comprehensive as possible in terms of clearly defining the permit boundaries and indica*_ing all roads or stool;pile areas to be used in connection with the operation. All iz;teediately adjacent landowners must be shown. The closest quarter section corner, section line, or any other locateable point should also be shown on the trap. EXHIBIT D - ;dildlife, later Resources, Vesetation and Soils Information Each of the above-mentioned subjects must be addressed as outlined in the applicable Rule, under item number test (10). 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 land affected by each. If possible, the plan should be closely correlated with the map. If not, the narrative must be comprehensive enough to draw an accurate verbal picture of the expected physical appearance of the area after completion of reclamation. EXHIBIT F - Proof of local Government A~oroval This must be a letter from the local government specifying conformance with existing zoning regulations. EXHIBIT C - Source of Letal F.icht to Enter This could be a copy of the lease, deed, abstract of title, or current tax receipt. In lieu thereof, a s[atement aclmo:~ledged by a notary public that the operator has the legal right to enter and mine will be accepted. **POR SPL•CIAL 10-DAY PER?ZITS C`ZY~'* EXHIBIT II - Reclamation Costs If the surety is requested to be less than $2500, the operator must submit facts to supcort such request. Othe:aise a surety of $2500 will automatically be set. E\1iiBIT I - Tee-*is of Governmental Contract The operator must submit a copy of the contract or other proof that proves the necessity of a special 10-day permit. The operator must also submit evidence of the surety provided under the governmental contract, if 1t was required.