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~ -z- <br />i _ __ _ __ 'CY PIi OR I'RIN'I' CLIfAIILY <br />---~----~ ~~- <br />~~ <br />~--_- <br /> 14, Prcecnt lx nd ww <br />lln dc_c Loped <br />lar)d <br /> _ <br />_ <br />_ <br />- (S.c., agrl vltural, Liduetr let, etc.)__--Wi Lll ifc hnbi6aL __-_____ <br />1 15. Proposed future lend uec <br /> - <br />(coal o[ reclemeeion) wildlife habitat <br /> INSTRUCTIONS: This appl teat ton farm must he submitted in duel Ice [e end each fo[m must <br />I 6e accompanied by [he following info [mac ton and Items. the appli ca[fon <br /> w111 no[ be processed until comple ce. See RULE 3 (for Liml[ed Impact) <br /> or RULE 4 (for Special 10-day) for add L[tonal guidance. <br /> E%H 1B It A - Legal Descrlp[lon <br /> TLe legal deecriptlon moat lden[Sfy the aFf acted land and be wholly adequate for <br /> f1e1J to to [ton of Clie grope r[y. I[ can be In the form of me tee and Founds survey <br /> o[ o deecriptlon by reference to township, tinge, and sect ion co ec least the <br /> nearest quarter quarter sect ton. Yhere epPliceble, the street address or lot <br /> number(s) may be used. <br /> E%111 BIT - - Flln ln6 Plan <br /> Ih la con he a gene rel dls rasa ton of the me [hod s, equlpnic nt, phases or stages of <br />[he opn rn[SOn and [hn ec pn [[tone of land affected by each. The plan ehou ld be <br />I closely torte laced w(th the map and oho old show where mLrac[lnn will beC tu, whlcli <br /> J lrectton lc will proceed. <br /> C%II IIS]T c - Ltin <br />'Ih is map should be as comprchene Svc as po ssih le Sn terms of clearly defining <br /> the pe rm It boundaries and Indf ca ttng all ro ado or sco cl:pile areas [o be used Sn <br /> cm nnec[ion w1[h [he operation. All Smmed lately adl scent landovn ers must be shown. <br /> The closes[ quarter section corner, section line, or any other to ca ceable po lot <br />ehou ld oleo be shovn on the map. <br /> E%N LRIT n - Vlldllfe, iJa ter Resources Vegetation enJ Rt Sls Inf o[ma[ion <br /> Es ch of the above-ment to ned eubJ acts must be eddreesed ee ou Cllned in the <br /> applicable Rule, under Stem number ten (10). <br />t ExHI-IT E - Reclama clan Plan <br /> Ae wl[h [he mtn in(; plan, chfs should Le x general discussion of [he me[ho da, <br /> equ ipmenq phases or stages of the rerloma[lon process end those portlone of <br /> lent effected by each. If pa seible, the plan should be clo oely correlated <br /> w l[h [bc mop. If nn [, the nnrro[ive must Le romprehenslve enough to draw nn <br /> accurnce ve rhnl pf ct ore of [he expec Led phyo teal appca r:mre of the area steer <br /> completlun of recLamat tun. <br /> E%IIIBIT F - Proof oC Lu cal Iavcrnmen[ Appm vat <br /> Th to must he a letter from the local pave rumen[ ape clly Sn6 Conformance with <br /> ex Sat log roning regulations. <br />' E%IIIBIT C - Bourre aL Legal Right to En[cr <br /> This could be a copy of the lease, decd, nbet[ett of title, or current tax <br /> receipt. In lieu the n:of, x statement ncluJOwledged by a notary pub llc that <br /> the operafor has the legal right Co enter and mine will he accepted. <br /> •"FOR SY ECIAL 10-OAY PERMITS ON LYnn <br /> E%H IB1T II - Ileclamat/on Conte <br />' iF [he surety Se reyncsccd to be leas than $2500, [he operator must subm It <br />Faris [o support each request. Othe rwfee a sure [y of $2500 will aucomaticnlly <br />h.• se L. <br />E%NiB IT 1 - 1'e rme of Governmental Contract <br />the ope ra [nr must eubmt[ a copy of [ho contrnc[ ur other proof that proves the <br />neceaeity of a special 10-day permit. 1'he operafor must also submit evidence <br />of [he surety prow lded under [he governmen[e1 cmntrec[, if 1[ was [equ iced. <br />~ _Z_ <br />1 <br />1 <br />1 <br />