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• ~ ~r 110 Permit Application (tont'd)• INSTRLICTI O[VS: This application and all accompanying materials must be su hinitted in duplicate. In [he interests o: eff:clent processing, please include the Collowing informaticn L itc r..,. L!r..!icd !pact Opcrat!cn:, ccc °O'4 3 for guidance; Special 10-day Pewits, see RULE 4 for 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 S bounds survey or a descrip- tion by reference to township, range, and section, to at least the nearest quarter- quarter section. Where applicable, the street address or lo[ number(s) my 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 correlated with the moo and should show where extraction will begin, and which direction, if any, it will proceed. EXHIBIT C -Map This map should clearly define permit boundaries and indicate all roads or stockpile areas to be used in connection with the operation. All immediately adjacent landowners must be shown. The quarter section corner, section line, or any other locateable points should also be shown on this map. EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information Each of the above-mentioned subjects must be addressed as outlined in the applicable RULE. EXHIBIT E - Reclamation Plan As with the mining plan, this should be a general discussion of the methods, equipment, phases or stages of the reclamation process and chose portions of land affected by each. If possible, [he plan should be closely correlated with the map. If not, [he narrative must be comprehensive enough to draw an accurate verbal picture of the expected appear- ance of the area after completion of reclamation. EXP.IBIT F - Proof of Local Government Approval This must be a letter from the local government specifying conformance with existing zoning regulations. (It is intended that operators may obtain local government approval concurrent with the Division's processing of the application. To do so, the operator must submit evidence which indicates that local government approval is currently pending or will at least be considered within a reasonably short time by the appropriate govew- ing body RULE 1.1(10) (Consult this RULE for full details on this requirement.) EXHIBIT G - Source of Leeal Rieh[ [o Enter This could be a copy of the lease, deed, abstract of title, or current tax receipt. An acceptable alternative would be a statement acknovled ged by a notary public that the operator has the legal right to enter and mine. EXHIBIT B - Reclamation Costs For a 110 permit, if the operator requests surety to be less than $2500, the operator oust submit Facts to support such a request. Otherwise, a surety of 52500 will automatically be set. For all 111 pewits, the surety shall be $2500 per acre. Ey.HIBIT I - Tews of Governmental Contracts For Speciai 10-Day (111) Permits, 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. NOTICE PROCEDURES After the application is considered "filed" (pursuant to RULE 1.1(10) •rlch the Mined Land Reclamation Division, notice procedures outlined in RULES 3.2 and/or 4.2 must be followed. (Fowat for such notices will be included in the letter you receive from [he hfLR staff informing you of the completeness ("filing") of your application. ADDITIONAL INFORMATION This space can be referenced for further information of any of the items on this form. Re quest earl y on-site ins pection by Board Staff and consideration by the Board on March 5, 1980. To the best of my knowledge, all the information and correct. BY TITLE ication is [rue D. SjHastad, attorney (SSr-i _•.i ir~ inJ:viau.;l !c :n ily authn r- ~Oh L~~'/~ iac~i [o bind [he cpera[cr [o this G