2015-07-08_PERMIT FILE - M2015024

• Permit No: M2015024
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/8/2015
• Doc Name: Application
• From: Haynes Excavation, Inc
• To: DRMS
• Email Name: THM
• Email Name: GRM
• Media Type: D
• Archive: No

-4-
12. Primary
future Post-minin land use chec
6.3.2
EXHIBIT B - Site Description
6.3.3
EXHIBIT C - Mining Plan
6.3.4
EXHIBIT D - Reclamation Plan
Cropland(CR)
EXHIBIT E - Maps, to include the location of any recorded easements
Pastureland(PL)
EXHIBIT F - List of Other Permits and Licenses Required
6.3.7
General Agriculture(GA)
6.3.8
✓
Rangeland(RL)
EXHIBIT I - Proof of Filing with County Clerk
Forestry(FR)
EXHIBIT J - Proof of Mailing Notices of Permit Application
6.3.12
Wildlife Habitat(WL)
1.6.2(1)(b)
ADDENDUM 1 - Notice Requirements (sample enclosed)
Residential(RS)
Developed Water Resources(WR)
_ Recreation(RC)
Industrial/Commercial(IC)
Solid Waste Disposal(WD)
13. 1p!rimary nresent
land use check one):
..
IT
Cropland(CR)
Rangeland(RL)
Pastureland(PL)
Forestry(FR)
General Agriculture(GA)
Wildlife Habitat(WL)
Residential(RS)
f7
Recreation(RC)
EMining
Industrial/Commercial(IC)
Developed Water Resources (WR)
(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 I 10d 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:
none
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 - 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)