2014-04-16_PERMIT FILE - M2014019

• Permit No: M2014019
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/16/2014
• Doc Name: Notices
• From: DRMS
• To: Various
• Media Type: D
• Archive: No

14 If tlus 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 1 10d or 112d application form for Designated Mining Operations In either case, you must list
am• 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:
no acid mine drainage is used or result because of mining operations
15 Description of Amendment or Conversion
If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s)-
Maps & Exhibits:
Submit two (2) complete, unbound copies of the following application exhibits:
6.3.1
EXHIBIT A - Legal Description and Location Map
-4-
EXHIBIT B - Site Description
6.3.3
j 12 Pr' a ry future (Post-mining) land use chec
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
63.7
EXHIBIT G - Source of Legal Right -to -Enter
6.3.8
Cropiand(CR)
Pastureland(PL)
EXHIBIT I - Proof of Filing with County. Clerk
General Agriculture(GA)
✓
Rangeland(RL)
Forestn•(FR)
L6.2(1)(b)
Wildlife Habitat(WL)
6.5
Geoteclmical Stability Exhibit (as required)
Residential(RS)
Recreation(RC)
Industnal/Commercial(IC)
Developed Water Resources(WR)
_
Solid Waste Disposal(WD)
i
13. Prim
resent land use (check one)
Cropland(CR)
Pastureland(PL)
General Agnculture(GA)
✓
Rangeland(RL)
Forestry(FR)
Wildlife Habitat(WI-)
Residential(RS)
�Recreation(RC)
Industrial /Commercial(IC)
Developed Water Resources (WR)
Mining (MN)
14 If tlus 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 1 10d or 112d application form for Designated Mining Operations In either case, you must list
am• 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:
no acid mine drainage is used or result because of mining operations
15 Description of Amendment or Conversion
If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s)-
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 - Muting 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
63.7
EXHIBIT G - Source of Legal Right -to -Enter
6.3.8
EXHIBIT H - Municipalities Within a Two -mile Radius
6.39
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 - Penttaneitt Man -Made Structures
L6.2(1)(b)
ADDENDUM 1 - Notice Requirements (sample enclosed)
6.5
Geoteclmical Stability Exhibit (as required)