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T'fPE OR ?RIVT CLEARLY <br />14. Present land use <br />Rance] <=nd <br />(i.e., agricultural, industrial, etc.) <br />15. Proposed future land use R: nr~la++d <br />(Goal of reclamation) <br />INSTRUCTIONS: This application form must be submitted in duplicate and each form must <br />be accompanied by the following information and items. The application <br />will not be processed until complete. See RULE 3 (for Limited Impact) <br />or RULE 4 (for Special 10-day) for additional guidance. <br />~YHIBIT A - Legal Description <br />The legal description must identify the affected land and be wholly adequate for <br />field location of the property. It can be in the form of metes and bounds survey <br />or a description by reference to [oanship, range, and section to at least the <br />nearest quarter quarter section. 1~here applicable, the street address or lot <br />number(s) may be used. <br />E}CiIBIT B - 'riinin Plan <br />This can be a general discussion <br />the operation and those portions <br />closely correlated with the map <br />direction it will proceed. <br />of tl:e methods, equipment, phases or stages of <br />of land affected by each. The plan should be <br />and should show where extraction will begin, which <br />E3C~'IBIT C - <br />This map should be as comprehensive as possible in ter--is of clearly defi_~ing <br />the permit boundaries and indicating all roads or sloe?cpile areas to be used in <br />connection with the operation. ?11 immediately adjacent landcaners must be shown. <br />The closest quarter section corner, section line, or any other locateable point <br />should also be shown on the map. <br />•E.~7iIBIT D - 1,7ildlife, Water P.esources, Vegetation and Soils Information <br />Each of the above-mentioned subjects must be addressed as outlined in the <br />applicable Rule, under item number tea (10). <br />E.YrIIBIT E - Reclamation Plan <br />As with the mining plan, this should be a general discussion of the methods, <br />equipment, phases or stages of the reclamation process and those oortior.s of <br />land affected by each. If possible, the p'_an should Se closely correlated <br />• with the nap. If not, the narrative Host be ccmprehersive encugh to draw an <br />accurate verbal picture of the expected physical appearance of the area after <br />completion of reclamation. <br />EYHIBIT F - Proof of Local Goverr~ent Approval <br />This must be a letter from the local gover:~ent specifying confor^...aace with <br />existing zoning regulations. <br />E.~iIBIT G - Source of Legal Rizht to Enter <br />This could be a copy of the lease, deed, abstract of title, er current tax <br />receipt. In lieu thereof, a statement acL:ewledged by a notary public that <br />the operator has the legal right to enter ar.d tine will be accepted. <br />**FOR SPECIAL 10-DAY PER;9ITS 0`R.Y=* <br />E~iIBIT H - Reclamation Costs <br />If the surety is requested to be less than $2:00, the operator must submit <br />facts to support such request. Otherwise a surety of $2500 will automatically <br />be set. <br />E.111IBIT I - Terms of Governmental Contract <br />. The operator must submit a copy of the ccn[ract or other proof that proves [he <br />necessity of a special 10-day permit. The operator must also submit evidence. <br />of the surety provided under tie governmental contrac[, if it Baas required. <br />