1978-06-22_PERMIT FILE - M1978208 ‎(8)‎

• Permit No: M1978208
• IBM Index Class Name: Permit File
• Doc Date: 6/22/1978
• Doc Name: LIMITED IMPACT AND SPECIAL PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

TYPE OR PRINT CLEARLY
14. Present land use ustrial Commercial
(i.e. , agriculutural, in , etc.)
15. Proposed future land use Developed into a commercial 8 light industrial
(Goal of reclamation) area with uses for retail trade.
INSTRUCTIONS: This application form must be submitted in duplicate and each form must be
accompanied by the following information and items. The application will
not be processed until complete. See RULE 3 (for Limited Impact) or RULE 4
(for Special 10-day) for additional guidance.
EXHIBIT A - Legal Description
The legal description must identify the affected land and be wholly adequate for field
location of the property. It can be in the form of metes and bounds survey or a
description by reference to township, range, and section to at least the nearest quarter
quarter section. Where applicable, the street address or lot number(s) may be used.
EXHIBIT B - Mining Plan
This can be a general discussion of the methods, equipment, phases or stages of the
operation and those portions of land affected by each. The plan should be closely
correlated with the map and should show where extraction will begin, which direction
it will proceed.
EXHIBIT C - Map
This map should be as comprehensive as possible in terms of clearly defining the
permit boundaries and indicating all roads or stockpile areas to be used in connection
with the operation. All immediately adjacent landowners must be shown. The closest
quarter section corner, section line, or any other locateable point should also be
shown on the map.
EXHIBIT D - Wildlife, Water Resources, Vegetation and Soils Information
Each of the above-mentioned subjects must be addressed as outlined in the applicable
Rule, under item number ten (10) .
EXHIBIT E - Reclamation Plan
As with the mining plan, this should be a general discussion of the methods, equipment,
phases or stages of the reclamation process and those portions of land affected by each.
If possible, the plan should be closely correlated with the map. If not, the narrative
must be comprehensive enough to draw an accurate verbal picture of the expected
appearance of the area after completion of reclamation.
EXHIBIT F - Proof of Local Government Approval
This must be a letter from the local government specifying conformance with existing
zoning regulations.
EXHIBIT G - Source of Legal Right to Enter
This could be a copy of the lease, deed, abstract of title, or current tax receipt.
In lieu thereof, a statement acknowledged by a notary public that the operator has
the legal right to enter and mine will be accepted.
EXHIBIT H - Reclamation Costs
If the surety is requested to be less than $2500, the operator must submit facts to
support such request. Otherwise a surety of $2500 will automatically be set.
**EXHIBIT I - Term: of Governmental Contract
The operator must submit a copy of the contract or other proof that proves the necessity
of a special 10-day permit. The operator must also submit evidence of the surety
provided under the governmental contract, if it was required.
**FOR SPECIAL 10-DAY PERMITS ONLY
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