An application for temporary relief shall include:

1. (1) A detailed written statement setting forth the reasons why relief should be granted;
2. (2) A showing that there is a substantial likelihood that the findings and decision of the hearing examiner in the matters to which the application relates will be favorable to the applicant;
3. (3) A statement that the relief sought will not adversely affect the health or safety of the public or cause significant, imminent environmental harm to land, air, or water resources;
4. (4) If the application relates to an order of cessation issued pursuant to Section 776 or 777 of the act, a statement of whether the requirement of Section 786C of the act for decision on the application within 5 days is waived; and
5. (5) A statement of the specific relief requested.