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C) <br /> RPM,Inc.,25049 E.Alder Dr.,Aurora,CO 80016 Phone:(303)854-7499 Email:hlhumphries2ncomcast.net <br /> -ii- <br /> FILING REOUIRE➢IENTS: <br /> In order to apply for a Reclamation Permit for a Special III Operation,please provide: <br /> X • One(1)signed and notarized completed ORIGLNAL and one(1)copy of the completed Special I I I Operation Application <br /> Form. <br /> X ' Two(2)copies of all Exhibits(required sections described in Rule 6). <br /> _CX ' Two(2)copies of Addendum 1-Notice requirements(described in Rule 1.6.2(1)(b)).An example of this notice is attached <br /> for your use <br /> X ' The Geotechnical Stability Exhibit when required by the Division. <br /> X • The application fee. <br /> X ' The FULLY EXECUTED financial and performance warranty forms- <br /> NOTICE REOURE]IENTS: <br /> X 1_ You 1ii'ST send a notice,on a form approved by the Board.to the local board of county commissioners. A copy of this <br /> "Notice of Filing Application"form is attached for your use. <br /> X 2. If the mining operation is within the boundaries of a conservation district.send a notice to the board of supervisors of the <br /> conservation district,PRIOR to filing the application. A copy of this"Notice of filing Application"form is attached for your use. <br /> X 3. You-AnTST include proof of notice#1 and#2 above with the application at the time the application is submitted to the Office <br /> for filing(Rule 1.6?(1)(g)) <br /> X 4. Prior to filing the application,place for public review a copy of the applicatim less confidential items_with the clerk or <br /> recorder of the county or counties in which the affected land is located_ You MU,ST provide the office with an affidavit or receipt <br /> indicating the date on which the copy of the application was placed with the clerk or recorder at the time the application is <br /> submitted to the Office for firing(Rule 1.6 2(1)(c)). <br /> X 5. Any changes or additions made to an application submittal aii ST be filed with the county clerk or recorder. You]R ST also <br /> provide the Office with an affidavit or receipt demonstrating that the change was filed with the county clerk or recorder no later <br /> than the close of business on the day the change was filed with the Office(Rule 1.8.1(2)). <br /> The copy of the application and any changes or additions placed at the office of the county clerk or recorder shall NOT be recorded,but <br /> shall be retained there for at least sixty(60)days after a decision on the application by the office and be available for inspection during this <br /> period. At the end of this period,the application may be reclaimed by the applicant or destroyed(Rule 1.6.2(2)). <br /> APPLICATION REVIEW PROCEDt1tES: <br /> The Office shall approve or deny the application within fifteen(15)days of filing unless the date for consideration by the Office is extended <br /> pursuant to Rule 1.8_ If any changes or additions are made to the application after initial submittal.the local board of county commissioners <br /> 'MUST be notified_ Proof of filing notice of the change with the county NIUST be provided to the Office. A form approved by the Board <br /> for these purposes is enclosed with this application package. <br /> If the requirements of the Act and Rules have been satisfied,the Office will approve the application. The Act also provides for automatic <br /> approval if no action is taken by the office by the end of the 15 day review period. <br /> APPLICATION APPROVAL/DENAL: <br /> If the requirements of the Act and Rules have not been satisfied.the Office will deny the application. If the Office denies the application. <br /> you may appeal to the Board for a final determination by submitting a written request for an administrative appeal to the Board within 60 <br /> days of the date of the decision(Rule 1.4.7). <br /> 4 <br />