2016-11-23_PERMIT FILE - M2009010

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-S- Mans and Eah : Two(2)complete,unbound application packages must be submitted One complete application package consists of a signed application form and the set ofmapsand exhibits referenced below as Exhibits A-S,Addendum 1,and the Ckotechnical Stability Exhibit. Each exhibit within the application must be presented as a separate section.Begin each exhtbit on anew page.Pages should be numbered conseartively for ease of reference. If separate documents are used as appendices,please reference these by name in the exhibit. With each of the two(2)signed application forms,you must submit a corresponding set of the maps and exhibits as described in the foiowing references to Rule 6A 6.5,and 1.6.2(1)(b): EXHIBIT A Legal Description✓ EXHIBIT B Index Map V EXHIBIT C Pre-Mining and Mining Plan Map(s)of Affected Lands i EXHIBIT D Mining Plan j EXHIBIT E Reclamation Plan , EXHIBIT F Reclamation Plan Map.. EXHIBIT G Water Information EXHIBIT H Wildlife Information EXHIBIT I Soils Information EXHIBIT J Vegetation Information EXHIBIT K Climate Information EXHIBIT L Reclamation Costs EXHIBIT M Other Permits and Licenses, EXHIBIT N Source of Legal Right-To-Enter✓ EXHIBIT O Owners of Record of Affected Land(Surface Area)and Owners of Substance to be Mined 1 EXHIBIT P Municipalities Within Two Miles EXHIBIT Q Proof of Mailing of Notices to County Commissioners and Conservation District EXHIBIT R Proof of Filing with County Clerk or Recorder EXHIBIT S Permanent Man-Made Structures J Rule 1.6.2(l)(b) ADDENDUM 1-Notice Requirements(sample enclosed) Rule 6.5 Geotechnical Stability Exhibit(any required sections) The ion for preparing Exhibits A-S,Addendum 1,and Geotecim►icel Stability Exhibit we specified under Rule 6.4 and 63 and Rule 1.6.2(l)(b)of the Rules and Regulations. If you have any questions on preparing the Exhibits or caveat ofthe information required, or would like to schedule a pre-applic adon meeting you may contact the Office at 3034VA-3567. ResoaaalbilWo as a Permit-tee: Upon application approval and permit issuance,this application becomes a legally binding document. Therefore,there are a number of important requirements which you,as a perm uee, should fully understand. These requirements are listed below. Please read and initial each requirement,in the space provided,to acknowledge that you understand your obligations. If you do not understand diese obligations then please contact this Office for a full explanation. Ael 1. Your obligation to reclaim the site is not limited to the amount of the financial warranty. You assume legal liability for all reasonable expenses which the Board or the Office may incur to reclaim the affected lands associated with your mining operation in the event your permit is revoked and financial warranty is forfeited;