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110 Pe mi[ Aopl ication (cont'd) • • INSTRUCTIOt:S: This application and all accompanying materials must be sn tool tted in duplicate. In the in[erescs or efficient processing, pleaae /ncluda the followin info rcatio: ,. .. -~. Lira tcd I- --• °^--•'-••^ ..ce °7fY 3 for guidance; Special 10-day~Permits, see RULE 4 for guidance. Ek'H IBIT A - Legal Description The legal description must identify the affected land and be wholly adequate for field location of [he property. It can be in the form of metes b bounds sun•ey or a descrip- tion by reference [o township, range, and section, co at least the nearest quarter- quarter section. Where applicable, the street address or lot number(s) my be used. EXHIBIT B - Mining 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 correlated with the map and should show where extraction will begin, and which direction, if any, it will proceed. EXHIBIT C - Map This map should clearly define permit boundaries and indicate all roads or stockpile areas to be used in connection with the operation. All immediately adjacent landowners must be shown. The quarter section comer, section line, or any other locateable points should also be shown on this map. EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information Each of the above-mentioned subjects must be addressed as outlined in the applicable RULE. 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 [hose 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 appear- ance of [he area after completion of reclamation. EXHIBIT F - Proof of Local Government Approval This must be a letter from the local government specifying conformance with existing zoning regulations. (It is intended that operators may obtain local government approval concurrent with the Division's processing of the application. To do so, the operator must submit evidence which indicates that local government approval is currently pending or will at least be considered within a reasonably short time by the appropriate govern- ing body RULE 1.1(10) (Consult this RULE for full details on this requirement.) EXHIBIT G - Source of Legal Right to Enter This could be a copy of the lease, deed, abstract of title, or current tax receipt. An acceptable alternative would be a statement acknowledged by a notary public that the operator has the legal right to enter and mine. EXHIBIT H - Reclamation Costs For a 110 permit, if the operator requests surety to be less than $?i00, the ooerator mle[ submit facts to support such a request. Otherwise, a surety of $2500 will automatically be set. For all 111 permits, the surety shall be $2500 per acre. EXHIBIT I - Terms of Cove rnmental Contracts For Special 10-Day (111) Permits, 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 it vas required. NOTICE PROCEDURES After the application is considered "filed" (pursuant to RULE 1.1(10) with the Mined Land Reclamation Division, notice procedures outlined in RULES 3.2 and/or 4.2 must be followed. (Format for such notices will be included in the letter you receive from the 2H.R staff informing you of the completeness ("filing") of your application. ADDITIONAL INFORMATION This space can be referenced for further information of any of the items on this form. To the best of my knowledge, all the informmation p e nted in this appl~ati oil is and correct. ~ , / B.~ TITLE uwne s--.lames L. i' e_at an ISI CIC ~1 ••; 111J 1'.'1JU.ai ii~i.~ Iy dLLCIIUr- 1]ca C biod [I12 L'peraCCr CJ CI115 ~ ^]! a_.:: ~ nil . .( ~~ Wanc:a L. Treat