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PERMFILE127041
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PERMFILE127041
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Entry Properties
Last modified
8/24/2016 10:24:11 PM
Creation date
11/25/2007 4:13:26 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978039HR
IBM Index Class Name
Permit File
Doc Date
2/2/1978
Doc Name
LIMITED IMPACT & SPECIAL 10-DAY PERMIT APPLICATION FORM
Media Type
D
Archive
No
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r i -~- <br />Ty7E OR PRI h'C CI.TJ,RLY <br />14. ?resent Lana uae Agricultural - Forestr~_ <br />(i.e., agricultural, industrial, etc.) <br />15. Ptopesed future land use Wildlifle Habitatt, dry~tangeland, <br />(Goal of reela~a[Son) Recreational <br />I'fSTR UCTIOSS: ihis application fora cust be subrsl[ted in duplicate and each fora must <br />be accoapa^Sed by [he follow Sr.g in Co rna[ion and item. The application <br />viii no[ be processed until ror_plete. Sre RULE 3 (fot Liu~f ted Iti.p ac [) <br />or RULE G (fot Special 1C-day) for additfonal gu ldance. - <br />EV11BlT A - Legal DescrSption <br />The legal dcscrlp[Son =ust id entSfy [he of (e c[ed land and he t~holly zdequa[e fo[ <br />field location of [he property. I[ can be far [he fore of metes and beur,da survey <br />or a description by reference to [ow sh ip, ra r.ge, and section to a[ lees[ the <br />neatest Guzrter quarter section. Rhe re eppllcable, the street address or lo[ <br />number (e) :,ny be used. <br />EL"4IB[T B - Y'nfnq ?lan <br />This can be s gen nr al discussion of the ce th cds, equipoen[, phases or ste ges of <br />[he operation and [hose po rticns of land affected by each. The plan s!:ould Se <br />closely correlated with [he rtap and should shcv where ex[ract!on will begin, t•h ich <br />direc[i on i[ will pro reed. <br />~t~lEIT C _ v=P <br />This-sp should be as ccxptehzns'_ve es possible in ter:=5 of clczrly dot fining <br />the pe rr~it boundaries and ind!ca[ing all ro zds or stoci:p lie areas to be used 1n <br />con nee [icn with [he o; oration. 211 f~-ed'.a tely adj acrnt lacdr_;e:s ¢ust be sh r.-n. <br />The closest gcar[er sec['on corner, section line, or any other loca[cx S]e paint <br />should also be siet-rr on the cap. <br />?Ca>1T D _Gllcl'_fe, 4_z ter S _o~~:ce~e[atlon_z nc Soils lc.`cr -.;C on <br />E~rh of Cie ebovc-,; n[icned subjects nnsc Se adcr ess-d as ovtlir,:d in tSe <br />zyplicable Role, under item nc:ber [en (10). <br />`~i?IT E - Recl a.-e tion 71an <br />p-p cith the ci :i ng plan, this should be z ge-ersl discussion of the retti ods <br />:coi;c~n[, p'''a es or sta~cs of [Se :ec'_:.a[:on t.: x-=_s and :`.c=_e ;~uri`cns of <br />land aff reed Sy each. if pes=isle, the pla^ s}.^~-1d Se closely cur rn 1,-,rd <br />cith t`.e .zp. If :n[, [}.a na ;:atr,:e rvs[ be r_:; rehea five e-:c c~h to drae an <br />acn u: ate verbal picture of the r-,:pec:ed ;.h =?cal a~pt>re,ce of the area after <br />coaple[icn of :ecla~, [ion. <br />7_'.1ElT F - Pruof of ''-ocal G.vers.enc F;vrecal <br />ihis -cst be a loiter from the ]oc al ge vz r.rcn[ =; ~ci'} -:g cr.a _`c~:: ::nee 'with <br />ealsthg cuing re :,u i-ticr.a. <br />2?=i: 31i G - Sc arcs of L~~: al R_gh[ [o Enter <br />Tn'_s could be a copy of the ]ease, died, zhs:r~ct of title, or oar re nt :ax <br />rose Spt. In lieu [h.ar~of, a statemes[ ev-•c~''ec fed :}• a r.c:::cy p~'o lit ti.a[ <br />[he q-•erator r-s [he ]erzl right to enter and c.ne ~. ill be ~.c:;.t ed. <br />+: GR Sr ~C LAL 10-24Y ?_i~:I;S J~l.'i+• <br />'~.'.1?IT B - Reclanzd on rests <br />If the surety !s roc uzsted [o be ]e>s [tan $2500, i`.e oi.z raror rust s_; ,it <br />`acts [o supper[ such request. Oche t-. ise a s_. rty of ;?500 will cute-.: t±tal ly <br />be set. <br />T'•:tirz iT I - a of C-ov e. s'-ctal Cc..-qtr act <br />Tne cperator .us[ su'.~o1[ a espy of she ecr.[r:ct o; otiar prof chat cr;s ~},e <br />notes=_f [y of a sloe ial iC-day p: rd[. fibs ep::rater r:aC also subeit rv'd~~ce <br />of the surety p: c'+ided under :be ~c': er a_er.tal ccctr:.r t, Sf i[ '_a i•S:~'r ed. <br />
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