2004-10-28_PERMIT FILE - M2004067

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-4- IS Qn Site Processing _~ Crushing/Screetling 13 I Briefly ezplam mining method (e g truck/shovel) _ Primary and SBCOndary crushing and Soreenlnq Gst any destgnated chemicals or acid-producing materials to be used or stored wuhin permit azea~ None antiClDBted. 16. Description of Amendment or Conversion If you are amending or converting an extstmg operation, provide a bnef narrative descnbmg the proposed change(s). Maps and Exhibits Two (2) complete, unbound appligtion packages must be submitted One complete application package consists of a signed appltcanon form and the set of maps and exhibits referenced below as Exhibits A-S, Addendum 1, and the Geotechnical Stability Exhtbtt. Each exhibit withmtheapphcationmustbepresentedasaseparatesection. Begin eachexhibitonanewpage. Pages should benttmberedconsecutively 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 apphcanon forms, you must submit a corresponding set of the maps and exhibits as descnbed m the follow[ng references [o Rule 6 4, 6 5, and 1 6.2(1)(b)• EXHIBff A Legal Descnphon EXHIBIT B Index Map EXHIBIT C Pre-Mining and Mtmng Plan Map(s) of Affected Lands EXHIBIT D Mtmng Plan EXHIBff E Rectamahon Plan EXHIBIT F Reclamation Plan Map EXHIBIT G Water tnformaaon EXHIBIT H Wddhfe [nformation EXHBIT 1 Soils Information EXHIBIT) Vegetation Information EXHIBIT K Chma[e Tnformation EXHIBIT L Reclamation Costs EXHIBIT M Other Permas and Licenses EXHIBIT N Source of Legal Right-To•Enter EXHIBIT 0 Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined EXHIBIT P Mumcipalihes Within Two Miles EXHIBIT Q Proof of Mailing of Notices to County Commissioners and Conservation District EXHIBIT R Proof of Fthng with County Clerk or Recorder EXHIBITS Permanent Man-Made Shuchues Rule 1 6 2(I)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) Rule 6 5 Geotechmcal Stability Exhibit (any required sections) -5-