(a) The department by rule shall prescribe the form of an application for a safety certificate.
(b) An application for a safety certificate must contain not more than:
(1) the name, address, and telephone number of the person responsible for the quarry or pit;
(2) the name, address, and telephone number of the owner or owners if different from the person responsible for the quarry or pit;
(3) the type of quarrying activities, if any, occurring on the site;
(4) a brief description of the site, including the acreage outside and inside the pit;
(5) the distance of each pit perimeter from the nearest roadway edge of each public road that the site adjoins and the nearest intersection of any public or private road or driveway;
(6) the depth in feet, below the top of the pit highwall located between the pit and the roadway, of the deepest excavation in the pit;
(7) a description of and a construction plan for any barrier or other device allowed in this code to be constructed, specifying the material to be used and the expected date of completion; and
(8) any other information or condition that, in the opinion of the operator or owner, constitutes an unacceptable unsafe location, as defined or required by this Act that is absolutely essential to the purposes of this Act.