Submitted with and made a part of the permit application shall be a copy of the survey map required by the Bureau of Mineral Resources or, as an alternative, a survey by a surveyor licensed by the State of New York showing by metes and bounds the premises to be drilled on and the drilling site, the distance in feet of the drilling site and any appurtenances to the gas well, including ponds, to any place of public travel or occupancy, rights-of-way of any public road or highway, rights-of-way of any public utility and streams, creeks, rivers or other bodies of water which are within 200 feet of the drilling site. If there are no buildings, roads, etc., within 200 feet of the drilling site or appurtenances, then the surveyor shall indicate that fact on the survey.