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:.fit""=." <br />.`;i~'u, <br />TYPE OR PRINT CLEARLY <br />14. ?resent Iand use Gravel Pit <br />(i.a., agricultural, industrial, etc.) <br />IS. Proposed future land U9! Slonine aides nd avadin •'th ^nn oUr ^ <br />(Coal of reclamation) grass, when State makes suffl~tent water <br />available. <br />IH9TRUCTIONS: Thin application form must be aabmitted in duplicate and each form mwt <br />be accompanied by the following information and ltems. The application <br />x111 not be processed until complete. Sea RULE 3 (for Liaitsd I'paet) <br />or RULE 4 (for Special 10-day) for additional guidance. <br />E7plIBIT A - Legal Description <br />The legal description seat identify the affected land and be wholly adequate for <br />field locacioa of the property. It can be in the form of mates and bounds suzvsy <br />of a description by reference co tovnahip, range, and section to at Lsaat the <br />nearest quarter quarter section. }Jhara applicable, the arrest addrasa or lot <br />nueber(s) may be used. <br />SII[IBIT B - Hiniag Plaa <br />This can be a general discussion o! the methods, equipment, phases or stages of <br />. the operation and those portioaa of land affected by each. The plan should ba <br />eloealy correlated with the map and should ahaw where extraction will begin, which <br />.direction it will proceed. ~ '. <br />EXHIBIT C - Map <br />This map should be ae comprehensive as poeaible is terms of clearly defining <br />the permit boundaries and indicating all roads or stockpile areas to be used in <br />connection with the operation. All imoediately ad~aeeat landowera moat be shown. <br />The eloeast quarter section corner, section lint, or nay other loeateabla point <br />should oleo be ahovn on the map. <br />EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information <br />Each of the above-mentioned aub~ects moat be addreeaed as outlined in the <br />applicable Rule, under itaa number tan (10). " <br />EXHIBIT E - Reclamation Plan <br />M with the mixing plea, thle should ba a general discussion o! the methods, <br />equipment, phases or stages of the reclamation proeaaa and those portioaa of <br />load affected by each. If posaibla. the plan should be closely correlated <br />with the map. If not, the narrative moat be comprehensive enough co draw an• <br />aecurate•verbal picture of the expected physical appearance of the area after <br />completion of reclamation. <br />EXHIBIT F - Proof of Local Govaznment Approval <br />ThL must ba a lector lroa the local govaramenc specifying conformance with <br />e:xstiag zoning regulations. <br />EXHIBIT G - Soarca of Legal Right to Eater <br />This could ba a copy of the lease, deed, abstract of title, or current tax <br />receipt. In lieu thereof, a statement aekaowledged by a notary public that <br />the operator has the legal right to cater sad mine will be accepted. <br />**FOR SPECIAL 10-DAY PERMITS ONLY** <br />EXHIBIT H - Reclamation Coats <br />If the surety is requested to be less than S2500, the operator must submit <br />facts to support such request. Otherwise a surety of $2500 will automatically <br />be net. <br />EXHIBIT I - Terxs of Governmental Contract <br />the operator moat submit a copy of the contract or other pcoof that proves chs <br />nsceaaity of a spacial 10-day permit. The operator moat also submit evidenec <br />o! the surety provided under Fhe governmental conezaet, if 1t was required. <br />rz~ <br />