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4- 15. DeacrioHoo of Amendment or Converaioo: If you are amending ar converting ao existing operation, provide a brief narrative describing the proposed change(s). Conversion: Conversion of ownership from Darryl Stout to Diana K. Watson Maoa and Eihibka: Five (5) complete, unbound application packages must be submitted One complete application package consists of a signed applirsuon form and the set of maps and exhibvs referenced below as Exhibits A-S, Addendum 1, and the Geotechnical Stability Exhibit Each exhibit within the application mast be presented as a separate section. Begin each exhibit on a new page. Pagcs should be numbered consecutively for ease of referrnce. If separate documents are used as appendices, please reference these by name in the exhibit. With each of the five (5) signed appficatioa forms, you must sabmit a correspondmg set of the maps ~d exhibits as described in dte following references to Rule 6.4, 6.5, and 1.6.2(1)(6): EXHIBIT A Legal Description EXHIBIT B Index Map EXI-IIDIT C Pre-Mining and Mituag Plm Map(s) of Affected Lands to include the location of any recorded easements EXI-IIBIT D Mining Plm EXHIBIT E Rechtmation Plan EXHIBIT F Reclamation PLm Map EXHIBIT G Water Information EXI-IIBIT H Wildlife Information EXHIBIT I Soils Ltforrmtion EXHIBff J Vegetation hrformation EXHIBIT K Climate L1t'ormation EXI-IIBIf L Reclamation Costs EXHIBIT M Other Permits and Licenses EXHIBIT N Source of Legal Right-To-Enter, to inchrde hohiers of any recorded easements EXHIBIT O Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined to include holders of any recorded easements EXHIBIT P Municipalities Within Two Miles EXHIBIT.Q Proof of Mailing of Notices to County Commissioners and Soil Conservation District EXHIBIT R Proof of Filing with Co®ty Clerk or Recorder EXHIBITS Permanrnt Man-Made Structures Rule 1.6.2(1)(6) ADDENDUM 1 -Notice Requirements (sample enclosed) Rule 6.5 Geotechnical Stability Exhibit (any required sections) The instuaions for preparing Exhibits A-S, Addendum 1, and Grntechnical Stability Exhibit are specified under Rule 6.4 and 6.5 and Rule 1.6.2(1)(6) of the Rules and Regularions. IFyou have any questions on preparing ~e Exhibits or content of the information required or would like to schedule apre-application meeting you may contact the Office at 303-866-3567.