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PERMFILE127160
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PERMFILE127160
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Entry Properties
Last modified
8/24/2016 10:24:17 PM
Creation date
11/25/2007 4:19:41 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983050
IBM Index Class Name
Permit File
Doc Date
3/28/1983
Doc Name
LIMITED IMPACT 110 & SPECIAL 10-DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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16 Pre sd nt Iznd use (i.e., agrl <br />cultural, industrial, etc.) <br />Grassland ___.___ <br />15, Proposed future land use I Grassland <br />(Goal of re clamatlon) i <br />It1STRUCTl OI1S: This application and all accompanying materials must be subml [ted in duplicate. <br />In the Interests of efficient processing, phase Include Che following lnforma- <br />[lon 6 items. limited Inpact Operations, sae RULE ) for guidance; Special 10- <br />day Permits, Sce RULE 4 for guidance. <br />EXHIBIT A - Local Descrl otfon <br />The legal descrlpcion must identt Fy the affected Land and be wholly adequate far <br />field location of [he property. IC ran be in the form of metes G bounds survey <br />or a dcscri ptlon by reference to te..nshlp, range, and section, to at least the <br />nearest quarter-q ua r[er section. '..'here applicable, the street add rays ar lot <br />nur~bar(s) may 6a used. <br />£X111817 B - Hining Plan <br />This can be a general discussion of [he me [hods, equipment, phases or stages of [he <br />o pera[icn and those portions of land affecttd by each. The plan should be <br />correlated with the map and should show where extraction will begin, and uhlch <br />direction, If any, it will proceed. <br />EXHIBIT C - <br />This map should clearly deft ne permit boundaries and indicate all roads or stockpile <br />areas tp be used in Connection with [he opera[i on, All immediately adjacent landowners <br />r..ust be shown. The quarter section corner, section line, or~any other locates ble points <br />should also be shown on this map. <br />tXHl31T 0 - Vildlife, '~ia ter Resou rtes. l'e oeta[i on and Soils Information <br />-ach of [he above-men[iened subjects must be addressed as outlined in the applicable <br />ULE. <br />_X111917 E - Reclamation ~ <br />.15 wi [h Che mining plan, [his should 6e a gone rat discussion of [he methods, equipr..en t, <br />phases or stages of the reclamation prcc ess and those Dom ions of land affected by each. <br />If possible, the plan should Se closely Corr-laced with the -a p. If Hoe, the narrative <br />must be cempreh ensive enough to draw an accurate verbal picture of [he expo cted appear- <br />ance of the area after completion of recla.ration. <br />EXHIBIT F - Proof of Local Covernr..ent Aoproval <br />This r..ust be a lector frm [he local government specifying conformance with existing <br />zoning regulations. (I[ is intended [hat operators .:.ay obtain local governr-.ent approval <br />concurrent with the Division's processing of the apPl icacion. To do so, the eperaior <br />must submit evi dertce which indica tot that local govt. app roust is currently pending <br />or will a[ least be consida red within a reasonably short time by the aDp ropri ate <br />governir body. .RULE I.I (10) (Consult this RULE for full details on [his raqui rement.) <br />EXHIBIT Source of Leeal Richt to Enter <br />This could be a campy ni [he lease, deed, abst ra :! of tl tie, or Curren[ t:.x recei ot. <br />An acceptable al [e rnati ve would be a state..^..ent acknowledged by a no[a rJ public [hat <br />the .ore ra [or has the legal right to enter and mine. <br />EXHIBIT H - ..°.cclamation Cos [s <br />If [he su re [y is re Su?sted [o h lass than 52500, [he ope rotor Host submit facts to <br />supper[ such a request. Oche r.:isa, a surety of 52500 •.i 11 au:omotically be se [. <br />-== FO2 SPECIAL 10-OAY (111) PER.Y ITS OILY "- <br />EXHIBIT I - Terns of Governrw_ntal Contract <br />For Special 10-Day (111) 7ermiis, the operator must submit a copy cf the contract or <br />other proof [hat proves the necessity of a sFeei al 10-Lay per~i [. The cparator r. ust <br />also submit evidence of the surety provided under the gc ve rnmental ccr.c roc[, iF i[ was <br />required. , <br />IIOTIEE PROCEDURES <br />AFtcr thb aFplica[i en is considered "filed" (pursuant to RULE 1.1 (IO) 'with [he Mined Land <br />".•.clana[ion Division, notice procedures outlined in RULES ?,2 t/or +.2 r.:us[ `_c fcllr.+e A. <br />(Forma[ for such notics will to included :n the Ict;er you receive frc.a the 'LR sto fF <br />informing you of the c:~*,ol e[cn2ss ("filing") of your a^plica[i on. <br />AD01;IOt:tl IqF°P.RaTICY <br />This space can Se referenced for further information of any of the items on [his form. <br />To the best of .ry knc.)edgc, all the in fora~[1 on prc:rnt.d in [his applicati is trc~ <br />and correct. <br />d ~ <br />TITLC~~ urn, ~~LL~f"-~ -4~. (~N~~; <br />tSign d oY ~; ,a~, sl 115 :v hor- <br />,.cd tp Sind ::~.: ... r: ::r ;a :his <br />a~;il icatlon.) <br />
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