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110 Permit Annlir.u ion fcnnt'd)
<br />INSTP,IICT t(!:iS: Thle appllcaclon and all ar.camp,-,n :•1nn matcrlnis must 6u cu t~.nSCted fn
<br />Jup[icate. In the In[crt-acs of ~iflclent pr~xsanr, pl: -.,.. include
<br />[ha Cullowing 1n[ar~atior, ;, .tc:.c. Lir..I tc~ .::.pact Dpc:?C an~, occ !:L'L_
<br />7 for guidance; Special 10-Jay Pc rmlts, sew RULE 4 for guidance.
<br />CXIIIHIT A - Legal Duscrlption
<br />The legal description must identify the affected land and be wholly adequate for field
<br />location of the property. IC can be Sn the form of metes L bounds survey oc a descrip-
<br />tion by reference to township, range, and sectlo n, to at least the nearest quarter-
<br />quarter section. Where applicable, the scree[ address or lot number(s) my be used.
<br />EXHIBIT B - fining Plan
<br />711is 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 correlated
<br />with the map and should show where extraction will begin, and vhich direction, if any,
<br />S[ will proceed.
<br />EXHIBIT C - Map
<br />This map should clearly define permit boundaries and indicate all roads or stockpile
<br />areas to be used in connection with the operation. All immediately adjacent landowners
<br />must be shown. The quarter section corner, section line, or any other locateable
<br />points should also be shown on this map.
<br />EX1iIBIT D - tli l.dlife, Water Resources, Vegetation and Soils Information
<br />Each of the above-mentioned subjects must be addressed as outlined in the applicable
<br />RULE.
<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 />must be comprehensive enough to draw an accurate verbal picture of the expected appear-
<br />ance of the area after completion of reclamation.
<br />EXHIBIT F - Proof of Local Government Approval
<br />This must ba a letter from the local government specifying conformance with existing
<br />zoning regulations. (It is intended that operators may obtain local government approval
<br />cnrcurrent with the Division's processing of the application. To do so, the operator
<br />must submit evidence vhich indicates that local government approval is currently pending
<br />or will at least be considered within a reasonably short time by the appropriate govern-
<br />ing body RULE 1.1(10) (Consult this RULE for full details on this requirement.)
<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 />An acceptable alternative would be a statement acknowledged by a notary public that
<br />the operator has the legal right to enter and mine.
<br />EXHIBIT H - Reclamation Costs
<br />Foc a 110 permit, if the operator requests surety to be less than 52500, the ooeratormust
<br />submit facts to support such a request. Otherwise, a surety of $2500 will automatically
<br />be set. For all 111 permits, the surety shall be $2500 per acre.
<br />EXHIBIT I - Terms of Governmental Contracts
<br />For Special 10-Day (111) Permits, the operator must submit a copy of the contract or
<br />other proof that proves the necessity of a special 10-day permit. The operator must
<br />also submit evidence of the surety provided under the governmental contract, if it vas
<br />required.
<br />NOTICE PP,OCEDURES
<br />After the application is considered "filed" (pursuant to RULE 1.1(10) with the Mined
<br />Land Reclamation Dlvis:on, notice procedures outlined in RULES 3.2 and/or 4.2 must be
<br />followed. (. ormat for such notices will be included in the letter you receive from the
<br />?iLR staff informing you of the completeness ("f it ing") of yo:ir application.
<br />ADDITIONAL INFOR~L',TION
<br />P,iis space can be L~eiarencad For furt Y,er Snform;it ion of any of tl~e items on this form.
<br />To [he best of my knowledge, all the information presented in [his application Ss true
<br />and corrCC[. J
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<br />ixc~i [o `,i n.l th+~ cpcra~to LL[;
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