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_ . ~ ~ _y_ TYPE OR PRINT CLEARLY 14. Present land use Multiple purpose public domain (i. e., agricultural, lnduatrial, etc.) (Mining - Rangeland - Wildlife Habitat) 15. Proposed future land use M++7 ti ~ 1 n nr~ nc° ~ ++hl i r rlnmain (Coal of reclamation) (Mining - Rangeland - Wildlife Habitat) This application form moat be submitted is duplicate and each form moat be accompanied by the following information sad items. The application will not be processed until complete. See RIII.E 3 (for Limited Impact) or RIILE 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 metes and bounds survey or a description by reference to township, range, and section to at least the nearest quarter quarter section. Where applicable, the street address or lot number{s) may be used. EXHIBIT B - Mining 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..ahow where. extraction will_begin, which direction it will proceed. • EXHIBIT C - Ma This map should be as comprehensive as possible in terms 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 shown. The closest quarter section corner, section line, or any other locateable point should also be shows oa the map. , EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information Each of the above-mentioned subjects moat be a_d__dress_e_d ae outlined_ in the applicable Rule, under item number ten (10). , EXHIBIT E - Reclamation Plan Ae with 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 as 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 • existing zoning regulations. EXHIBIT G - Source of Legal Right to Enter This could be a copy of the lease, deed, abstract of title, or current tar 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-DAY PERMITS ONLY** EXHIBIT H - Reclamation Costs If the surety is requested to be less than $2500, the operator moat submit facts to support such request. Otherwise a surety of $2500 will automatically be net. ~"ERHIBIT I - Terms of Governmental Contract The operator must submit a copy of the contract or other proof that proves the necessity of a special 10-day permit. The operator must also submit evidence of the surety provided under the governmental contract, if it vas required.