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PERMFILE128953
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PERMFILE128953
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Entry Properties
Last modified
8/24/2016 10:26:03 PM
Creation date
11/25/2007 6:52:39 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981236
IBM Index Class Name
Permit File
Doc Name
LIMITED IMPACT 110 AND SPECIAL TEN-DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />110 ?e^i[ Avol lca:ion (c nn:'d) <br />L';SidL'CT?0::5: 'his appLicadcn and all acccmnnr.•: 1nz pact r'als vast '.a :u `nnitced 1n <br />dupLieace. L.^. cis SnC2reiCS u: ~:__ _en: ~rn.:a ssir.., c a.-.:3a <br />c.`. .vl ovin3 irfor.----a - _.-~ ~r:_.ci _-~_~_ ~.-'--ac, __- .°.!^~ <br />7 for guidance; Specr_al 10-da?~?e nits, see 3Uti + for 3vidance.^' <br />.C9~I" .a -lanai Deser'_o t'_on <br />'_he legal description must idea[ i`y the affected Laced and be wholly adequate for field <br />location of cbe oroperty. Lt can be in the fom of veras S bounds survey or a deacrip- <br />Con by reference to township, range, and section, co at Least :he nearer[ quarter- <br />quarter section. .'F.ere applicable, the street address or lot number(s) my be used. <br />c-i,''T32T 3 -~ ~.r•aiaz 2laa <br />This eaa be a 3eneral discussion of [he asthods, agaipment, ?bases or stages of the <br />ooeraclon and chose portions oP Laced affected by each. the plea should be correlated <br />with the nap and should shoe where es;trsecion vil7. begin, and whiff direct*an, if any, <br />it •r1.11~ proeead. <br />Ti?32_' C - van <br />'.`.is vap should clearly dafina pewit 'aouadariea sad iadieace all roads or stockpile <br />area.a co ba used Sa eovasetion •rith the operation. .111 i~ediacely adjacent Laadovners <br />must be shvan. ?hs quarter section corner, sactien 11ae, or any other Locataabin <br />points should also ba shown an this sap. <br />~iT3I- J - 'a1d113a. dater 3eaourees. 7eaetat'-on sad Soils Inioraacion <br />?aeh of [ha abwa~eataaad aabjeeu aunt bs addressed as oucliaad La the applicabl• <br />2m a. <br />??T3IT z - 2ee'_amstian flan <br />A.s with the ainiag plan, thin should Se a general diseuaaion of ehs xethoda, equipmear, <br />phases or stages of cha retlamacian proeesa and chase portions of Laced affected 6o each. <br />if possible, the plan should ha claaely nor-__elacad •rlch cha sap. if sot, the narrative <br />vast Se comprehensive eaaugh eo draw an accurate verbal picture of cha erlected appear- <br />ance of the area after tamplaeien of reclamation. <br />=•~I" F - 'roof of ~~ca1 Gwernmeat AonrwaL <br />.his w„at be a Lector .tram the Local goverment spee'_fyiag coaformaace with ezisCiag <br />zonL-g rasa'-acians. (?t is iacended that operators say obtain local goverzmenc approval <br />caacsr-. eat :::Y the 7iviaion's process'_ag of the apolieatioa. 7o do ;o, tYe operator <br />Est submit aoidence which ++aieaces that local goverment approval is currently pending <br />or oil'- ac least ba considered vichia a reasonably shah rims by the appropriate govern- <br />ing body 3CI: 1.1(10) (Covsulc this 3LZS 'ar full decal's on this requiremanc.) <br />.?LB L~ - Scarce of La¢al 3'_xhc to Zatar <br />C~~s could bn a copy of :he''.ease, dead, abstract of title, or cur-_ent ras recsipc. <br />as acteptabia aLcernaedve +ould be a seacemene acknavladged by a aecary public chae <br />cYe ooeracor has the legal right [a enter and mina. <br />Ti?3I:' H - Sac Larsticn Costs <br />For a L10 pernit, L' cha operator requests surety cv Se Lass :has 5?500, the oceraeor:vst <br />submit facts to support such a reeuesc. Otharrise, a surety of 5200 will autvracically <br />be sat. Fvr all ''-iI penita, rho surety shall ba SZfCO Ter acre. <br />IS - ?etas of Coveraencal Cont-acts <br />For Soecial 10-Oay (IlI) Permies, chs operator muse aubmic a cope of .ha coacraae or <br />other proof that otaoes the nseasaity of a spacial '.O~sy pewit. the operator msat <br />also submit evidence of cha aurarr provided uadar L4e governmental eoneraci, i.f !t voce <br />required. <br />YOT?Cc ve.OCF7URES <br />.after the anolieaeian Ss considered "filed" (pursuant to ZCI..•, 1.1;10) ~rith the "Sped <br />iand_Zaclzmatian Civ~sivn~ cotics pr:eaduras cue'_iaad-~ia ~"~.°5 :.: andior +.: slat be ~ --" '" <br />followed. (Format for such noC_cea •r_'_1 be included Ln the Letter you recei•re :tom .he <br />'iL2 staf? ii ar=iag you o2 the r-rpleceness ("fill.^.g") of ?our application. <br />.a:nr.?cuu _~rc~:r.1;.cN <br />Itiis space eaa ba referaneed for further Ltiormatioa of any of the items on :h±s tam. <br />'o the best of v:~ :movladge, al! :he `aivrucicn pre rented in :his appl-'cation Ss true <br />and correct. <br />~. ~ % ~ - <br />SY ~~ ~G <br />-_.__ <br />- In a ~° _ac_...ac. - ''' ,:a .:or- <br />__ad _. ..._ ...~ ___... :or~co ....s <br />*'~alia.P. __ <br />
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