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OR FRI`JT <br />lei. Present lard use • ' itinin~ - <br />(i.e., agricultural, industrial, etc.) <br />1$. Proposed future land use Dr ran sPlanr9 anA wildli ~a ha hi rat ~ <br />(Coal of reclamation) ~ <br />I[vSiRLCTi0:i5: This application farm must be subaitted in duplicate and each £or-~: Host <br />be accompanied by the following information and items. The application <br />will not b? processed until conplete. See RULE 3 (For Limited Impact) <br />or RULE 4 (for Special 10-day) for additional guidance. _ <br />EXHIBIT A - Legal Description <br />The 1e3a1 descriotion must identify the a=fected land and be caholly adequate for <br />field location of the property. It can be in the form of metes and bounds survey <br />or a description by reference to tocnship, range, and section to at least the <br />nearest quarter quarter section. k^nere applicable, the sCreet address or lot <br />number(s) may be used. <br />EXHIBIT B - 14inin Plan <br />This can be a general discussion of <br />the operation and those portions of <br />closely correlated with the man and <br />direction it will proceed. <br />EXHIBIT C - tfao <br />This map should be as comprehensive <br />the permit boundaries and indicating; <br />connection with the operation. All <br />The closest quarter section corner, <br />should also be sho•,m on the map. <br />the methods., equipment, phases or stages of <br />land affected by each. The plan should be <br />should show where extraction. will begin, which <br />as possible in terms of clez:rly defining <br />all roads or stockpile aree~s to be used in <br />imrediately adjacent landowc:ers oust be shown. <br />"section Line, or any other ],ocateable point <br />EXHT_BIT D - ?dildlife, tinter Resources, 1'eget_tion and Soils Informa~.:on <br />Each of the above-mentioned subjects must be addressed as outli~ted in the <br />applicable Rule, under item number ten (10). <br />EXHIBIT E - Reclamation Plan <br />As with the dining plan, this should b_ a general discussion of the methods, <br />equipment, phases or stages of ttre reclamation process and thos~a portions o£ <br />land affected by each, If possible, the plan should be closely correlated <br />with the map, If not, the narrative must be comprehensive enough to draw an <br />accurate verbal picture of the expected physical appearance of the area after <br />completion of reclamation. <br />E?{IIIBIT F' - Proof of Local Government Aoproval <br />This must be a letter from the local government specifying conformance with <br />existing zoning regulations. <br />E?."HIBTT G - Source of Legal Right to Enter <br />This could be a copy of the lease, deed, abstract of title, or current ta:; <br />receipt. In lieu thereof, a statement acl~nowledged by a notary public that <br />the operator has tl:e legal right co enter and mine will be accepted. <br />*tF02 SPECIAL 10-D".Y FER;~iITS 0:'LY%~~ <br />EhTIIEIT li - Reclailation Costs <br />If the surety is requested [o be less than $2500, the operator must subait <br />facts to suoport suet: request. Othun.ise a surety of $2500 wi]-J. automatically <br />be set. <br />E\iIIEtT l - Terms of Governmental Contract <br />1'he operator Host submit a copy of the contract or other proof that prm•es rite <br />necessity o_° a special 10-clay permit. 2'hc operator Host also ::ubu:it evidence <br />of [he surety provided under the p,overnrental contract, if It v.zs required. <br /> <br />