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Y 110 Permit Aoolicatfor. (cont'd) ~ y INSTRUCTIOt:S: Tl~fs application and a~aeeompnnyinfe mnecrials muat'be suh~~ed in duplicate. In the interests of efficiant processing, pltaaa .aclude the olloving in:or::tian .:c ~,.. Li_ c ~.,..-_ _,__-_- .cc 3 for guidance; Spec:lal 10-day Permits, see RULE 4 for guidance. ESHIBIT 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 6 bounds survey or a descrip- tion by reference [o tow ship, range, and section, [o at least the nearest quarter- quarter section. lihere applicable, the street address or lot number(s) my be used. EAAIBIT B - Hining 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 correlated with the map and should show where extraction will begin, and which direction, if any, it will proceed. EX}iIBIT C - Yan ~~ This map should clearly define perm:Lt boundaries and Sndicate all roads or stockpile areas to be used in connection with the operation. All immediately adjacent landowers must be show. The quarter section corner, section line, or any other locateable points should also be show-on this map: - -'. EFAIBIT D - Aildlife, 'later Resources, Veeetation and Soils Information Each of the above ~eationed subj ect:> must be addressed as outlined in the applicable RULE. - ERHIBIT 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 co dram an accurate verbal picture of the expected appear- ance of the area after completion of reclamation. .,. EXFiIHIT F - Pzoof of Local Goverment Anoroval This must be a letter from the loca:L government specifying conformance with existing . zoning regulations. (IC is intend e~i that operators may obtain local gove r~ment approval concurrent with the Division's pr oc?ssing of the application. To do so, the operator - must submit evidence which indicates that local government aporoval is currently pending or will at least be considered within a reasonably short time by the appropriate govera- iag body RULE 1.1(10) (Consult this RULE for full details on this requ it even[.) ~:H IH IT G - Source of Leeal Rieht to Enter This could be a copy of the lease, deed, abstract of title, or current tax receipt. _ An acceptable alternative would be a statement acknoviedged by a notary public [hat the operator has the legal right to enter and mine. EYALHIT A - Reclamation Costs For a 110 permit, if the operator requests surety to be less than $2500, the operator mus[~ submit facts to support such a recuest. Otherwise, a surety of 52500 will automatically be set. For all 111 permits, the surety shall be 52500 per acre. ERAIBIT I - Terms of Gove rnmental Contracts For Special 10-Day (111) Permies, the operator must submit a copy of the contract or other proof that proves the necessity of a special l0~ay permit. The operator must also submit evidence of the surety provided under the governmental contract, if it vas required. NOTICE PROCEDURES 4_F ter the application is considered "filed" (pursuant to RULE 1.1(10) with the MSned Land Reclamation Division, notice procedures outlined in RULES 3.2 and/or 4.2 must be followed. (Format for such notices will be included in the letter you receive from the :~tLR staff informing you of the eo=pleteness ("filing") of your application. ADDITIONAL INFORMATION This space can be referenced for further information of any of the items on this fom. To the best of my knowledge, all the informatio~esented £n this a' anon1~(~!~/~s/-_yt~(/r~'u)e and correct. v~~~~ _! BY TIr,.EChairman, Board of Yuma County (Sicnod M: indivl~ual !c_ally an[h.r- i:ad t, bins t:e.• operator to t:iis Cornmissionersl