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PERMFILE115897
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PERMFILE115897
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Entry Properties
Last modified
8/24/2016 10:11:50 PM
Creation date
11/25/2007 1:29:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980112
IBM Index Class Name
Permit File
Doc Date
5/30/1980
Doc Name
LIMITED IMPACT & SPECIAL TEN-DAY PERMIT APPLICATION FORM
Media Type
D
Archive
No
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__ _ _ •r\•rl•: oR ruir:l• (:Li(AG1.Y _ __ __ <br />14. Present land use <br />(i.c., agricultural, ir,dus [rial, L`Lc.) =`~~'~G`-'~fu~a.i -_6fQ.~>'!~~' __-___ <br />15. Proposed fhture land use _-~-- ~--'-cy~'_r^tGu /~e/.~4~-~__ G~9--~''~~__-__ <br />(C;oat of reclamation) <br />INSTRUCTIONS: Tlcis application f.or:n mus[ be suhmitCed i.n duplicate and caclt form must <br />be accompanied by the fo.l.l.ewi.nt; information .vtd items. Tlie application <br />will not he processed until complete. Sec 121IL1> 3 (for Limited Lmpact) <br />or I2ULE 4 (for Special 10-day) for addiCional „uidance. <br />F.XHIRIT A - Lel;al lloscrtLtion <br />'Ihe local description must identify the affecCrd land and bc• t:holl}• adr.q~:aCC for <br />field location of the. paopert.y. It can be :Ln Chc. form of. metes and bound:: survey <br />or a description by reference to to~mship, range, and section to at least the <br />nearest quarter quarter ser.tion. lAicre applicable, the street address or lot: <br />number(s) may be used. <br />EXLIIBI'f B - 74inine_Plar. <br />This can he a general discussion of. the methods, equ.tpment, phases or sCa};cs of. <br />the operation and those portions of land affected by each. The plan should he <br />closely correlated with the map and should show where c:Craction r•:fl.l begin, which <br />direction it will proceed. <br />EXIIIBIT C: - tfa~ <br />This map should he as comprehensive as po,sibl.n i.n tears of clearly defining; <br />tt:e permit boundaries and indicating all roads or stockpile arcls to be a<:ed in <br />connection with the operat.i.on. All. immediately adjacent landotmers must be :;I~o:an. <br />The closest quarter se.^ti.nn corner, section line, or any other locaCeabl.e point <br />should also bu shown on the. map. <br />E:qI%BIT D - [aildl.ife, Stater Resnurr_es, Pcgetation and Soils Inforn~ai:ion <br />£.ach of [he above-mentioned su';ject^> most Le addrr_sscd as outlined to the <br />applicable Rule, under item number ten (10). <br />EXHIBIT E -Reclamation Plan <br />A_s with the ml.ninp, plan, this should be a general discu.^,sfon of the mcLl+ods, <br />equipment, phases or stages of t.hc reclamation process and those portio:a of <br />land affected by each. If possible, Chc plan `houl.d be closely correlated <br />with the map. If not, the narrative mast be cornprclronsive enough to dr::w an <br />accurate verbal picture of the expected physical appearance of the area after <br />completion of reclamation. <br />EXHIBIT I' - Ptonf of Local Gaventmcnt Appror_al <br />This must he a letter from the local. p,overnment specifying, confonrance with <br />exis[ing zon:[ng re{~ulations. <br />EXi{IL'I'f G - Source of Legal 1tiFht to 7?n[cr <br />This could be a copy of thr_ lease, deed, abstract of title, or current tax <br />receipt. In lieu thereof, a s[atemen+_ acknowled^ed by a notary public that <br />the operator has. the le{•,al right to c•ntei and mice will bc• acer.pted. <br />**POR SPT'.CIAL ]0-DAY Pl?1:1.1ITS ONLI'~`~~ <br />E~IIBTT IL - Recl amat ten Co.^.te, <br />If. the sure t}' is requc^tect to be l.ea Chan $2500, the opcrai_or musC submit: <br />facts to :support such requcnC. OthcrwLsc n surety of ;1.100 wil.a automaCic:~l.ly <br />be set. <br />L••VIIBIT I - 1'crms of. GuvcrnmenCal. Contract <br />1'he operator must submit a copy of the contract nr ocher proof that proves the <br />neccs~.ity of n spuc.tal 10-day permit. The operator tanst a]se suinnit ovidencc <br />of the ::ur~~ty provided under thr_ go~~ernmental. cor.tracC, if. it was required. <br />
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