PERMFILE139505

• Permit No: M1984013
• IBM Index Class Name: Permit File
• Doc Date: 1/26/1984
• Doc Name: LIMITED IMPACT & SPECIAL 10-DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

• -3
E.YHIBIT C - Mao
This moo should clearly define the permit boundaries and contain suff cient information
EXHIBIT D - [~Jildli fe, [5'a ter Resources, Ve ceta ti on and Soils In fo rma ti n
to determine the location of the affected !and on the ground and exis ing and proposed
roads or access routes to be used in connection with the mining opera ion, all
immediatelu adjacent lando~,mers of record must be shown. The quarter section corner,
section Line, or any other locatable points should a_'so be sho~m on t. is ,map.
Each of the above-mentioned subjects must be addressed as outlined in
RULE. •' ...
.. i ~ ~ ~ ~
EXHIBIT E - Reclamation Plan
As with the minin_e plan, this should 6e a oeneral discussion of the m
phases or stages of the reclamation process and those por*_ions of lane
If possible, the plan should be closely correlated with the map. Ifi
must be comprehensive enough to draw an accurate verbal picture of the
arse of the area after completion of reclamation.
EXHIBIT F - Proof of Comnli ante with Local Government Zoni
In accordance with 34-37-i15(4)(e), the Board must make a finding tha
will be in compliance with local zoning or subdivision reculations.
required to submit this information, but a submission would assist th
cessina of the application. [then the Division notifies the local eov
• existence of this application, it will request information regarding
applicable local !arc. It is intended that operators may concurrently
once with local requirements at the same time the Pi vision is process
ti on. Information regarding the status with local government will be
E.\'FfIBIT G - Source o_' Le cal Ri cht to enter
This could be a copy of the lease, deed, abstract of title, or c
An acceptable alternative would be a statement acY.rowledged by a
operator has the legal right to enter and mine.
E:fHIBIT H - Reclamation Costs
the applicable
:hods, equipment,
affected by each.
~t, the narrative
expected appear-
the operation
u are not
Division's pro-
nment of the
mnliance with
ome into compli-
g this aoplica-
elpful.
tax receipt.
public that the
For a 110 permit, if the operator requests financial warranty to be le s than 55,000.00,
the operator must submit facts to support such a request. Other.:ise, financial warranty
of 55,000.00 will automatically 6e set. For alI 11I permits, the fina vial warranty shall
be 57,500.00 per acre.
EXHIBIT I - Terms of Governmental Contracts (111 ~oolications onluJ
For Special 10-Day (lll) permits, the operator must submit a copy of t e contract or
other proof t,4at Droves the necessity of a special 10-gay permit. The operator must also
submit evidence of the financial warranty provided under the eovernmen a1 contract, if
it Boas required.
•