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110 Permit ADpliratlon (cnnt'd) <br /> INS TP.I1Cf!0!'S: Thi; appI icatIoi and all accomprmpinc matcrlals must be sub nit ted in <br /> duplicate. In the Interzsts or of flcl.nt prnces.;lr.., pl;aaa include <br /> the following Incurs zlor. Z. .:e.i;. Li r..tted _:.:pact Cpctatian�, „oe <br /> 1 for guidance; `special 10-day Permits, sec IIULE 4 for guidance. <br /> ------------------------------------------------------------------------------------- <br /> EXHIBIT A - Legal Description <br /> The legal description must identify the affected land and be wholly adequate for field <br /> location of the property. It can be in the form of metes L bounds survey or a descrip- <br /> tion by reference to township, range, and section, to at least the nearest quarter- <br /> quarter section. Where applicable, the street address or lot number(s) my be used. <br /> EY4IBIT B - Mining Plan <br /> This can be a general discussion of the methods, equipment, phases or stages of the <br /> operation and those portions of land affected by each. The plan should be correlated <br /> with the map and should show where extraction will begin, and which direction, if any, <br /> It will proceed. <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. All immediately adjacent landowners <br /> must be shown. The quarter section corner, section line, or any other locateable <br /> points should also be shown on this map. <br /> EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information <br /> Each of the above-mentioned subjects must be addressed as outlined in the applicable <br /> RULE. <br /> EXHIBIT E - Reclamation Plan <br /> As with the mining plan, this should be a general discussion of the methods, equipment, <br /> phases or stages of the reclamation process and those portions of land affected by each. <br /> If possible, the plan should be closely correlated with the map. If not, the narrative <br /> must be comprehensive enough to draw an accurate verbal picture of the expected appear- <br /> ance of the area after completion of reclamation. <br /> EXHIBIT F - Proof of Local Government Approval <br /> This must be a letter from the local government specifying conformance with existing <br /> zoning regulations. (It is intended that operators may obtain local government approval <br /> concurrent with the Division's processing of the application. To do so, the operator <br /> must submit evidence which indicates that local government approval is currently pending <br /> or will at least be considered within a reasonably short time by the appropriate govern- <br /> ing body . . . RULE 1.1(10) (Consult this RULE for full details on this requirement.) <br /> E\'HIBIT G - Source of Legal Right to Enter <br /> 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 /> EXHIBIT H - Reclamation Costs <br /> For a 110 permit, if the operator requests surety to be less than $2500, the ooeratormust <br /> submit facts to support such a request. Otherwise, a surety of $2500 will automatically <br /> be set. For all III permits, the surety shall be $2500 per acre. <br /> EXHIBIT I - Terms of Goverruaental Contracts <br /> For Special 10-Day (111) Permits, the operator 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 /> also submit evidence of the surety provided under the governmental contract, if It was <br /> required. <br /> NOTICE PROCEDURES <br /> After the application is considered "filed" (pursuant to RULE l.l(10) with the Mined <br /> Land Reclamation Division, notice procedures outlined in RULES 3.2 and/or 4.2 must be <br /> followed. (Format for such notices will be included in the letter you receive from the <br /> ,ILR staff informing you of the completeness ("filing") of your application. <br /> ADDITIONAL INFORMATION <br /> This space can be re£erencad for furch-r information of any of the items on this form. <br /> To the best of my knowledge, all the information presented in this application is true <br /> and correct. <br /> l -- <br /> ly <br /> TI ILF — <br /> (St_�:�! i : i::,liv t.i o.,l �I I•; .oah..:r- <br /> • i:..i to `+im.i th.- cps: er to this <br /> .ip-! t . .: i n.l <br />