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I10 ?ermit Application (con :'d,~i <br />4 <br />14. Pr_sen[ land use (i.e., agri- +r <br />cultural, industrial, etc.; Una el°~d - <br />Ib. Proposed future land use <br />(Goal of reclamation) <br />IHG7RUC TtONS: this application and all accompanying materials must be submitted in duplicate. <br />In the interests of efficient processing, please include [he following Informa- <br />tion E items. Limited Impact Operations, see RULE 3 for guidance; Special 10- <br />day Pe rmi[s, see RULE 4 for guidance. <br />EXHIBIT A - Legal Descri otion <br />The legal description must identify [he affected land and be wholly adequate for <br />field location of [he property. I[ can be in the form of metes E 6oun d5 survey <br />or a destri ption by reference to township, range, and section, [o at least the <br />nearest qua rte r-qua r[_r section. Where applicable, the street address or lot <br />number(s) may be used. <br />EXHIBIT B - Mining Plan <br />This can be a general discussion of the methods, equipment, phases or stages of the <br />operation and [hose portions of land affected by each. The plan should be <br />correlated with [he map and should show where extraction will begin, and which <br />direction, if any, it will proceed. <br />EXHIBIT C - nao <br />This map should clearly define Fie rmit boundaries and indicate all roads or stockpile <br />areas [0 6e used in connection with the operation. All immedia [ely adjacent landowners <br />must be shown. The yua rter section corner, section line, or~any other Iota [eable points <br />should also be shown on this map. <br />E%H181T D - Wildlife, Water Resources, Vegetation and Soils Inf orma[i on <br />Each of the above-mentioned subjects must 6e addressed as outlined in the applicable <br />RULE. <br />EXH191T E - Reclama U on Plan <br />As with the mining plan, this should be a general discussion of [he methods, equipment, <br />phases or stages of the re=lamation process and these portions of land affected by each. <br />If poss rbie, the plan ;hould be closely correlated with [he nap. If not, the narrative <br />must be comprehensive enough [o draw an accurate verbal picture of the expected appear- <br />ance of [he area after completion of reclamation. <br />E%HIBIT F - Proof of Local Government Approval <br />This must 6e a fetter from the focal government specifying conformance with existing <br />zoning regulations. (IC is intended chat operators may obtain local government app rcval <br />conwrren[ with tha Oi vision's Processing of the application. To do so, the operator <br />must submir evidence which indi~:a tes [hat local govt. approval is currently pending <br />or will at least be considered wi [h in a rea sonahly short time by [he appropriate <br />governing body. .RULE I.I (10) (Consult [his RULE for full details on this requi repent.) <br />E%HIBIT G - Source of L^aal Rioht [o Enter <br />This could be a copy of the lease, deed, abstract of title, or current tax receipt. <br />An acceptable alternative wouli be a statement acknowledged by a no[a ry public th a[ <br />Che operator has [he 1=gal right to enter and mine. <br />E%HIBIT H - Reclamation GoS is <br />If the surety is requested to be less than $2500, [he operator must submit farts to <br />support such a req ues[. Oahe rwise, a surety of 52500 will automatically be se [. <br />*** FOR SPECIAL 10-DAY (III) PERMITS ONLY "* <br />EXHIBIT I - Te rmS of Governmental Contract <br />For Special 10-Day (Ill) Permits, the operator must submit a copy of the contract or <br />other proof that proves [he necessity of a special 10-day permit. The operator must <br />also submit evidence of the surety provided under the governmental contract, if i[ was <br />required. <br />NOTICE PROCEDURES <br />After the aoplicati on is considered "filed" (pursuant [o PULE I.1 (10) wi [h the Mined land <br />?.eelama[ion Division, notice procedures outlined in RULES 3.2 E/or 4.2 must be followed. <br />(Forma rfor-su[hTOti'ca s=wi-F}-ye -i nci~uded =iT=the-:~t[~r yrou-rxa.vr~rcm-;hn-ML 9. :[af` - - _ _ <br />info rminq you of [he cornple[en ess ("filing") of your application. 4 <br />A001 r10HAL INFORMATION <br />This space can be referenced far further information of any of the items on this form. <br />To [he best of ny knowledge, all [he in fo rma[ion presented in this aoplica[ion is true <br />and co rrec[. ~I <br />Signed by indi itlual legally au [hor <br />ized [o bind [he operator cc [his <br />application,) <br />