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110 Pe :twit A~nl icaclon (c~nt'd) ZNSTP.UCTIO':S: Ills application and all accompan~~l nR marcrials must be suhinli[ed Sn Juplica[e. In the Snte rests o[ efficient processing, plcasa include [hc following rotor[..-tfon .. .tcr..;,. Li=_tc' ~__.__ ,..,,,__.. _.~.. --_ ,_.,9 3 for guidance; Special 10-day Permics,•see RULE 4 for guidance.-^ E:CRIBIT A - Legal Description The legal description must identify the affected land and be wholly adequatt: for field location of the property. It can be in the form of metes b bounds survey or a des~rip- tion 6y reference to township, range, and section, to at leas[ the nearest quarter- quarter section. Where applicable, the street address or lot number(s) my be used. ERHffiIT B - HininR 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 <:orrelated with the map and should shoe where ezeraction will begin, and which direction, if any, it will proceed. L7CFiffiIT C - Mao This map should clearly define permit boundaries and indicate all roads or stockpile areas to be used Sa connection with the operation. AlI immediately adjacent 1.andovners must be show. The quarter section corner, section line., or nay other locateable points should also be show on this map. ERRIBIT D - Wildlife, Water Resources, Vegetation and Soils Information Each of the above-mentioned subjects must be addressed as outlined iu the applicable RULE. ERAIBIT 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 chose portions of land affected by each. If possible, the plan should be closely correlated with the map. If not, tine narrative r must be comprehensive enough co draw as accurate verbal .picture of the e.~cpected appeaz- ance of the area after completion of reclamation. E~iffiIT F - Proof of Local Government Approval This must be a letter from the local government specifying conformance with existing . zoning regulations. (It is intended that operators may~abtaia local gove rraent approval concurrent vi th the-Divlsion's processing of the-app`lieatlon. To do so, the .iperacor must submit evidence which indicates that local government approval is currently pending or will a[ least be considered within a reasonably short time by the appropriate govety- Sng body R1JI.E 1.1(10) (Consult this RULE for full details an this requirement.) F%HIBIi G - Source of Leaal Right 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 acknowledged by a notary public that the operator has the legal right to enter and mine. EXAffiIT R - Reclamation Costs For a 120 permit, if the operator recuests surety to be less than 52500, the onera[orausc~ submit facts to support such a request. Otherwise, a surety of 52500 will automatically be set. For all 111 permits, the surety shall be 52500 per acre. E!OiffiIT I - Terms of Governmental Contracts For Special 10-Day (111) Permits, [he operator must submit a copy of the covtraet or ocher proof [ha[ proves the necessity of a special 10-day permit. The operator must also submit evidence of the surety provided under the governmental contract, Sf it vas required. NOTICE PROCEDURES After [he application is considered "filed" (pursuant to RULE 1.1(10) with ih~e `tined Load Reclamation Division, notice procedures otatl hied in R:;LES 3.2 and/or 4.2 must be followed. (Format for such notices will be included in~the letter you receive from the )ILR staff inforaing you of the completeness ("filing") of your application. ADDITIONAL I~F02`fASION This space can be referenced for further information of~any of the items on t:nis forn. To the best of my knowledge, all the information presented in this application is true and correct. ,t BY ~. ~ TIIL~ __2'7 C __,t !~