2014-10-14_REVISION - M2009053

• Permit No: M2009053
• IBM Index Class Name: REVISION
• Doc Date: 10/14/2014
• Doc Name: Notices AM01
• From: DRMS
• To: Various
• Type & Sequence: AM1
• Email Name: WHE
• Media Type: D
• Archive: No

-4-
13. Primary future (Post - mining) land use (ehee
Cropland(CR) Pasturcland(PI.)
Rangeland(W) Forestry(FR)
Residential(RS) — Recreation(RC)
Developed Water Resources(WR)
13. Prim resent land use (check one):
Cropland(CR) Pastureland(PI,)
HRangeland(RI.) Forestry(FR)
Residential(RS) Recreation(RC)
Developed Water Resources (WR)
General Agriculture(OA)
Wildlife Habitat(WI.)
Industrial/Commercial(IC)
Solid Waste Disposal(WD)
11
General
6.3 .2
Agriculture(GA)
FWildlife
Ilabitat(WI,)
6.3.4
EXHIBIT I) - Reclamation Plan
6.3.5
Industrial /Commercial(W)
6.3.12
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 t It)d or 112d application lbrm 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:
15. Description of Amendment or Conversion:
If you are amending or converting an existing operation`, provide a brief narrative describing the proposed cl
T-9 /n, C C LJit =�G; �/�t C� C�% f A -112 & 14 w! 7_ ~_II AII
Mans & 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 13 - Site Description
6.3.3
}iXHIBIT C - Mining Plan
6.3.4
EXHIBIT I) - Reclamation Plan
6.3.5
EXHIBIT E - Maps, to include the location of any recorded casements
6.3.6
I;XI IIBI'r F - List of Other Permits and Licenses Required
6.3.7
EXIIIBIT 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
LXI IIBIT J - Prool'of Mailing Notices of Permit Application
6.3.12
EXI I IBIT I. - Permanent Man-Made Structures
1.6.2(1 xb)
ADDENDUM I - Notice Requirements (sample enclosed)
6.5
Geoteehnical Stability Exhibit (as required)