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,. Present land use - <br />(i.e., agriculutural, industrial, etc.) <br />15. Proposed future land use gerra~±;nn Ca~aitP far bath day <br />(Goal of reclamation) _ an~1 nj,ghr ..tea (R_ i._ M_ 1 <br />INSTRUCTIONS: Thin application form must be submitted is duplicate and each form moat be <br />accompanied by the following information and items. The application will <br />not be processed until complete. See RULE 3 (for Limited Lmpact) or RULE 4 <br />(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 field <br />location of the property. It can be in the form of metes and bounds survey or a <br />description by reference to township, range, and section to at least the nearest quarter <br />quarter section. Where applicable, the street address or lot number(s) may be used. <br />EXHIBIT B - Mining Plan <br />This can be a general discussion of the methods, equipment, phases or stages of the <br />operation and those portions of land affected by each. The plan should be closely <br />correlated with the map sad should show where extraction will begin, which direction <br />it will proceed. <br />EXHIBIT C - Map <br />This map should be as comprehensive as possible in terms of clearly defining the <br />permit boundaries sad indicating all roads or stockpile areas to be used is connection <br />with the operation. All immediately adjacent landowners must-be shown: The closest <br />quarter section corner, section line, or nay other locateable point should also be <br />shown on the map. <br />EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information <br />Each of the above-mentioned subjects must be addressed as outlined in the applicable <br />Rule, under item number ten (10). --- - <br />EXHIBIT E - Reclamation Plan <br />As with the mining plan, this should be a general discussion of the methods, equipment, <br />phases or stages of the reclamation process and those portions of land affected by each. <br />If possible, the plan should be closely correlated with the map. If not, the narrative <br />moat be comprehensive enough to draw as accurate verbal picture of the expected <br />appearance of the area after completion of reclamation. <br />EXHIBIT F - Proof of Local Government Approval <br />This must be a letter from the local government specifying conformance with existing <br />zoning regulations. ------~- -- - - - - - <br />EXHIBIT G - Source of Legal Right to Enter <br />This could be a copy of the lease, deed, abstract of title, or current tax receipt. <br />Ia lieu thereof, a statement aclosowledged by a notary-public-that-the operator has- - <br />the legal right to enter and mine will be accepted. <br />EXHIBIT H - Reclamation Costs <br />If the surety is requested to be less than $2500, the operator must submit facts to <br />support such request. Otherwise a surety of $2500 will automatically be set. <br />**EXHIBIT I - Terms of Governmental Contract <br />The operator must submit a copy of the contract or other proof that proves the necessity _ <br />of a special 10-day permit. The operator must also submit evidence of the surety <br />provided under the governmental contract, if it was required. <br />**FOR SPECIAL 10-DAY PERMITS ONLY <br /> <br />