1997-10-27_PERMIT FILE - M1980171

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-2- TYPE OR PRINT CLEARLY 14. Present land use Minin C! ' (i.e., agricultural, industrial, etc.) 15. Proposed future land use Mininn vi 1 til i fa hnhi tat _ (Coal of reclamation) rar•ran t i nn n 1 INSTRUCTIONS: This application form must be submitted in duplicate and each form must be accompanied by the following information and item. The application will not be processed until complete. Sea RULE ) (for Limited Impact) or RULE 4 (for Special 10-day) for additional guidance. EXHIBIT A - Legal Description The legal description must identify the affected land and be wholly adequate for field location of the property. It can be in the form of mates and bounds survey or a description by reference to township, ranga, and section to at least the nearest quarter quarter section. Where applicable, the @treat address or lot number(s) may be used. EXHIBIT B - Hining 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 attraction will begin, which direction it will proceed. EXHIBIT C - Hap This map should be as comprehensive as possible in term of clearly defining the permit boundaries and indicating all roads or stockpile areas to be used in connection with the operation. All immediately adjacent landowners must be show. The closest quarter section corner, section line, or any other locateable point should also be show on the map. EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information Each of the above-mentioued subjects must be addressed as outlined in the applicable Rule, under item number tan (10). EXHIBIT E - Reclamation Plan An vich 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 Approval This must be a letter from the local government specifying conformance with "Latin$ toning regulations. EXHIBIT C - Source of Legal RStht to Enter This could be a copy of the lease, dead, abstract of title, or current tax receipt. In lieu thereof, a statement acknowledged by a notary public that the operator has the legal right to enter and mine will be accepted. **FOR SPECIAL 10-UY PERMITS ONLY** EXHIBIT B - Reclamation Costs If the surety is requested to be less than $2500 the operator @mat submit facts to support such request. Othervise sty of $2500 will automatically be not. EXHIBIT I - Term of Governmental Contract The operator moat submit a copy of the contract or other proof that proves the necessity of a special 10-da7 permit. The operator met also submit evidence of the surety provided under the governmental contract, if it we required.