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-2- <br />TYPE OR PAINT CLEARLY <br />14. Present land use Multiple purpose public domain <br />(i.e., agricultural, ladustrial, etc.) <br />(Mining - Rangeland - Wildlife Habitat) <br />Proposed future load nsa <br />(Coal of reclamation) <br />- ,vsngcima - <br />This application fora must be submitted in duplicate sad each fors must <br />be aceompaaied by the following information and items. The application <br />will not be processed until complete. See BIILE 3 (for Limited Impact) <br />or BDLE 4 (for Special 10-day) for additional guidance. <br />EXHIBIT A - Legal Description <br />The legal description moat identify the affected land and be wholly adequate for <br />field location of the property. It can be is the form of metes sad bounds survey <br />or a description by reference to township, range, and section to at least the <br />nearest quarter quarter section. Where applicable, the street address or lot <br />number(s) may be used. <br />EXHIBIT B - Hining Plan <br />This can be a general discussion of the methods, equipment, phases oz stages of <br />the operation and those portions of land affected by each. The plan should be <br />closely correlated with the map and should show where extraction will begin, which <br />direction it will proceed. <br />~~IBIT C - Map <br />This map should be as comprehensive as possible in 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 immediately adjacent landowners must be shown. . <br />The closest quarter section corner, section line, or any other locateable point <br />should also be shows oa the map. , <br />EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information <br />Each of the above-mentioned subjects must be addressed as outlined is the <br />applicable Rule, under item number ten (10). . <br />EXHIBIT E - Reclamation Plaa <br />Aa with the minigg plan, this should be a general discussion of the methods, <br />equipment, phases or stages of the reclamation process and those portions of <br />lead affected by each. If possible, the plan should be closely correlated <br />with the-map.-~f-sot;-the-narrative-mist-be-comprehensive-enough-to-draw as - <br />accurate verbal picture of the expected physical appearance of the area after <br />campletioa of reclamation. <br />EXHIBIT F - Proof of Local Government Approval <br />• Thia moat be a letter from the local government specifying conformance with <br />existing zoning regulations. <br />ERHIBTf C - Source of Legal Right to Enter ___ <br />This could be a copy of the lease, deed, abstract of title, or current taz <br />receipt. Ia lieu thereof, a statement acknowledged by a notary public that <br />the operator has the legal right to enter and mine will be accepted. <br />~*FOR SPECIAL 10-DAY PERMITS ONLY*R <br />zEHIBTT H - Reclamation Costs <br />If the surety is requested to be lees thaw $2500, the operator must submit ' <br />facts to support such request. Otherwise a surety of $2500 will automatically <br />be set. <br />2SIBIT I - Terms of Governmental Contract <br />Thu operator must submit a copy of the contrast or other proof that proven the <br />nneessity of a spacial 10-day permit. The operator moat also submit evidencs <br />of the ^urety provided under tha goveramnatal contract. if it was required. <br />.~i <br />i <br />i <br />:.~ <br />