2014-03-21_REVISION - M1977361

• Permit No: M1977361
• IBM Index Class Name: REVISION
• Doc Date: 3/21/2014
• Doc Name: Permit Application AM01
• From: CEMEX
• To: DRMS
• Media Type: D
• Archive: No

-4-
12. Prima
ry
future (Post-minin land use chec
EXHIBIT B - Site Description
6.3.3
EXHIBIT C - Mining Plan
6.3.4
EXHIBIT D - Reclamation Plan
6.3.5
EXHIBIT E - Maps, to include the location of any recorded easements
Cropland(CR)
EXHIBIT F - List of Other Permits and Licenses Required
Pastureland(PL)
EXHIBIT G - Source of Legal Right -to -Enter
6.3.8
General Agriculture(GA)
6.3.9
- -- -
Rangeland(RL)
EXHIBIT J - Proof of Mailing Notices of Permit Application
Forestry(FR)
EXHIBIT L - Permanent Man-Made Structures
✓
Wildlife Habitat(WL)
6.5
-- -
Residential(RS)
Recreation(RC)
Industrial/Conimercial(IC)
FDeveloped
Water Resources(WR)
E
Solid Waste Disposal(WD)
13. Prim
resent land use check one):
General Agriculture(GA)
Cropland(CR)
Pastureland(PL)
Forestry(FR)
Wildlife Habitat(WL)
Rangeland(RL)
Residential(RS)
Fi
Recreation(RC)
Industrial/Commercial(IC)
Developed Water Resources (WR)
✓
Mining (MN)
14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application
form. You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list
any acidic or toxic - forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will
result in or presently has acid mine drainage:
This operation does not and will not produce an acid mine drainage.
15. Description of Amendment or Conversion.
If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s):
Update mining and reclamation plans update post - mining land use from agricultural to wildlife
habitat, and clarify mining boundary.
Maps & Exhibits:
Submit two (2) complete, unbound copies of the following application exhibits:
6.3.1
EXHIBIT A - Legal Description and Location Map
6.3.2
EXHIBIT B - Site Description
6.3.3
EXHIBIT C - Mining Plan
6.3.4
EXHIBIT D - Reclamation Plan
6.3.5
EXHIBIT E - Maps, to include the location of any recorded easements
6.3.6
EXHIBIT F - List of Other Permits and Licenses Required
6.3.7
EXHIBIT G - Source of Legal Right -to -Enter
6.3.8
EXHIBIT H - Municipalities Within a Two -mile Radius
6.3.9
EXHIBIT I - Proof of Filing with County Clerk
6.3.10
EXHIBIT J - Proof of Mailing Notices of Permit Application
6.3.12
EXHIBIT L - Permanent Man-Made Structures
1.6.2(1)(b)
ADDENDUM 1 - Notice Requirements (sample enclosed)
6.5
Geotechnical Stability Exhibit (as required)