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4 <br />15. Description of Amendment or Conversion: <br />If you are amending or convening mm exrstmg operation, Provide a brief narrative descnbing the proposed change(s). <br />Tt~IS 5 If -,f~u9 P+^RM1Ti ~ot~ IT i2EP~Ci=S TWO <br />1:'KISTVb1(o u© ~ERIN,IZS OlU ?I{E 5'I-T~- <br />Maps and Eahibits: <br />Five (5) complete, nnbommd application packages must be submitted One complete application package consists of a signed application <br />form and the set of maps and exhibits' referenced below as Exhrbits A-S, Addendum 1, and the Geotecbmcal Stability Exhibit. Each <br />exhibit within the application mast be presented as a separate section. Begin each exhrbit on a new page. Pages should be numbered <br />consecutively for ease of reference. if separate documents are used as appendices, please reference these byname in the exlibit <br />With each of the five (5) signed application forms, you mast submit a cottesponding set of the maps and exhibits as descnbed in the <br />following refeznces to Rule 6.4, 6.5, and 1.6.2(lxb): <br />EXHIBTTA Legal Description <br />EXHBIT B Index Map <br />EXHIBIT C Pre-Mining mmd Mining Plan Map(s) of Affected Lmmds <br />EXHIBIT D Mining Plan <br />EXHIBIT E Reclamation Plan <br />F_XIBBIT F Reclamation Plan Map <br />EXHIBIT G Water Information <br />EXHIBIT H Wildlife Information <br />EXHIBTf I Soils Information <br />EXJIIBITJ Vegetation Information <br />EXHIBIT K Climate Information <br />EXHIBIT L Reclamation Costs <br />E.\'HIBJT ivI Other Permits and Licenses <br />E.XIIIBIT N Sconce of Legal Right-To-Enter <br />EXHIBIT O Owners of Record of Affected La»d (Sm-face Area) and Owners of Substage to be'vlined <br />E,YHIBIT P lbiuaieipaiities l6ithin Twe Miles <br />Eti'T~IIBIT Q Proof ofdtailing of notice. to Coeety Conmiissiosers and Conner+ation Pi~ttict <br />EXHIBIT R Proof of Filing with Coanh Clerk or Recorder <br />EXHIBITS Permanent Man-MadeStructares <br />Rule 1.62(1)(6) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />Role 6.5 Geotechnical Stabiity Exhibit (any required sections) <br />The instructions far preparing Exhibits A-S, Addendna 1, and Geotechnical Stability- Exhibit are specii:ed under Rule 6.4 and 6.5 and <br />Role 1.6.2(1)(6) of the Rules mmd Regulations. IFyou have any questions oa preparing the Exhibits or content of the information requires, <br />or would like to schedule apre-application meeting you may contact the Office at 303-866-3567. <br />