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PERMFILE123719
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PERMFILE123719
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Entry Properties
Last modified
8/24/2016 10:21:26 PM
Creation date
11/25/2007 11:49:00 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985072
IBM Index Class Name
Permit File
Doc Date
8/16/1979
Doc Name
LIMITED IMPACT AND SPECIAL TEN DAY PERMIT APPLICATION FORM
Media Type
D
Archive
No
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.~ ~ ' <br /> <br />• <br />TYPE OR PRI?7T CLFI:RLY <br />14. Present land use <br />(i. e., agricultural, industrial, etc.) ~ ~~ `~ "'~ c <br />n <br />15. Proposed future land use _ (r rc~ ~. ,~y~.. e:, <br />(Goal of reclamation) i <br />x <br />5 This application fpm must be submitted in duplicate and each form must <br />be accompanied by the following infor,.ation 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 />ERfiIBIT A - Lezal Description <br />The legal description must identify the affected land and be crholly adequate for <br />field location of the property. It can be i_n the form of metes and bounds survey <br />or a description by reference to township, rouge, and section to at least the <br />aearsat quarter quarter section. Where applicable, the street address or lot <br />number(s) may be used. <br />ERHIBIT B - ~{ninR Plea <br />Thin can be a general discussion of the methods, equipment, phases or stages of <br />the operation an3 those portions of land affected by each. The plan should be <br />closely correlated'vith the map and should show where extraction will begin, which <br />direction it will proceed. <br />i~I3IT C - Man <br />This map should be as cenprehensive as possible in terns of clearly defining <br />the perait boundaries and indicating all roads or stoc!cp11e areas to be used in <br />connection with the operation. :+11 immediately adjacent lardow~ers must be shown. <br />The closest quarter section corner, section 11ne, or any other locateable point <br />should also be shown on the moo. <br />E.CHTBIT D - Wildlife, 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 itsm n:xeber tan (10}. <br />E'S:iISIT E - Reclamation Plan <br />As with the mining plea, this should be a general discussion of the methods, <br />equipment, phases or stages of the reclamation process and those portions of <br />land affected by each. If possible, the plan should be closely correlated <br />with the map. If nor, the narratire dust be compreharsive enough to dray an <br />accurate verbal picture of the expected physical. anaaararca of the area after <br />completion of reclamation. <br />E~iIHZT F - Proof of Local Government .~onroval <br />This must be a latter from the ].u.:al ga~~ernsent spe;::it;ing cuufor3aace with <br />existing zoning regulations. <br />E.~IHIT G - Source of LeQa1 ?.igt~t to EatF: <br />This could be a cony of tier. lease. ,tend, ?F~~t _c~_ of i.; c' e, ar ,._:~raut cox <br />receipt. Ia lieu t`.:erepf, a st_ t~~,:_nt 2r: [::r~: - ~?=~ .,y :. ^~~ra:y pu~li;. e:_ac <br />the operator has the legal : ig ~ to e^.tar a~:4 :.; ne . tl:'. :;e accepted, <br />**FOR SPECL:al. 10-A4Y PEiZ'1IT5 OVLYtx <br />E.YEL3IT H - Reclamation Casts <br />If the surety is requested to be leas than $25110, the operator must submit <br />facts to support such request. Gtheraisa a surety of $25~J0 a11I. auto:azci:;ally <br />be set. <br />E:t'iI3IT I - Terns of Governmental Caatrnct <br />The operator must submit a cony of the contract or other proof that proves the <br />necessity of a spacial 10-day per:sit. The operator must also submit evidence <br />of the suraCy provided urc'er the. goverrmantal contract, if it was required. <br />
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