2014-06-25_REVISION - M1997039

• Permit No: M1997039
• IBM Index Class Name: REVISION
• Doc Date: 6/25/2014
• Doc Name: Notices CN01
• From: DRMS
• To: Various
• Type & Sequence: CN1
• Email Name: PSH
• Media Type: D
• Archive: No

-5-
Two (2) compktq unbound application padcages must be submitted. One complete application package consists of a signed application
form and the set of maps and exhibits referenced below as Exb%its A-S, Added 1, and the Geoftchnical Stability ExM'Nt Each exb''Wt
within the application mast be pmsented as a separate section. Begin each exhrbit on anew page;. Pagcs should be numbered oonsec utively
for ease of reference, If separate documents are used as appendices, please reference these by name in the a du -bit
With each of the two (2) signed application forms, you must submit a corresponding set of the maps and exhibits as described in the
following references to Rule 6.4,6-5, and 1.62(l)(b):
EXHIBIT A
Legal Desorption
EXHIBIT B
Index Map
EXHIBrr C
Pre -Cming and Miming Plan Map(s) of Affected Lands
EX Mfr D
Miming Plan EXHIBIT
EXHIBIT E
Reclamation Plan
EXHIBIT F
Reclamation Plan Map
EXHIBIT G
water Information
EXHIBIT H
wildlife information
EIGMrr I
Soils Information
F-KMI T J
Vegetation Information
EXHlBIT K
Climate Information
INHIBIT L
Reclamation Costs
HU IIBIT M
Other Permits and Licenses
F.XMrf N
Source of Legal Right-T`0713 r
EXHIBIT O
Owners of Record ofABected L and (Surface Area) and Owners of &rbstanee to be Mined
EXI-IIBIT P
Municipalities within Two Miles
EXMBiT Q
Proof of Mailing of Noticas to County Commissioners and Cmservation District
EXHIBIT R
Proof of Filing with County Clot or Recorder
EXHIBIT S
Permanent Max -Made Structures
Rule 1.6.2(l)(b)
ADDENDUM I - Notice Requaments (Semple enclosed)
Rule 6-5
Geotechmcal sbkft Exhibit (any required sections)
The instorctiom for p mparing tit -bits A-S, Addeadran 1, and G000rch at Stsb,�ty Ed 4 erne spexafied under Rale 6.4 and 6.5 and
Rule L6.2(l)(b) of the Rules and Regulations. If you have any questions on preparing the EAR its or content of th¢ Wpinmtim required,
or would b-im to sdreduk a pre,4ppl cation meeting you may contact the Office at 303- 866-3567.
Upon application approval and permit issuance, this application becomes a kgmW binding doc umeaL T hemdbre; these are a
number of important requirements whwhh You, as a pcsmitltee, should hilly mxkrsbm& These requirements are listed below.
Please toad and initial each requirenwK in the space provided, io acknowledge that you undastand your obligations- If you
do not understand these obbgabim then please contact this Off oe for a full explasution.
"-� l . Your obligation to reclaim the sift is not limited to the amount of the financial waaaMty_ YOVWWAW legal
i fiability for all reasonable expenses which the Board or the Offim may meta to reclaim the ag**I : %ds
1� associated with your mining opelamion in the event your permit is revoked and financial warrahRy is fcr
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