PERMFILE62838

• Permit No: M1997011
• IBM Index Class Name: Permit File
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-4-
X15. Deserintioa of Amendment or Conversion:
Pre-Mining and Hining Plan Map(s)
Hining Plan
Reclamation Plan
Reclamation Plan Map
Water Information
Wildlife Information
Soils Infozmation
Vegetation information
Climate Information
Reclamation Costs
Other Permits and Licenses
If you are amending or converting an existing operation, provide a brief narrative describing
the proposed change(s).
111 Pormil- M_Q(._nn(. tu~c iccnoA carlicr •-hic spar f(11' A High~~ iOb The,~Ob
is finished and that 111 area will be absorbed into this permit.
Mans and Exhibits:
Five (5) complete, unbound application packages must be submitted. One complete application
package consists of a signed application form and the set of maps and exhibits referenced
below as Exhibits A-S and the Geotechnical Stability Exhibit. Each exhibit within the
application moat be presented as a separate section. Begin each exhibit on a new page. Pages
should be numbered consecutively for ease of reference. if separate documents are used as
appendices, please reference these by name in the exhibit.
With each of the five (5) signed application forms, you must submit a corresponding set of the
maps and exhibits as described in the following references to Rule 6.4 and 6.5:
EXHIBIT A Legal Description
EBBIBIT B Index Hap
EXHIBIT C
EXHIBIT D
E%HZBIT E
EXHIBIT F
E%HIBIT G
EXHIBIT H
EXHIBIT I
E%HIBIT J
EBBIBIT R
EXHIBIT L
E%HIBIT M
EXHIBIT N
EXHIBIT O
EXHIBIT P
EXHIBIT Q
EXHIBIT R
EXHIBIT S
Rule 6.1.2(1)(b)
Rule 6.5

of Affected Lands
Source of Legal Right-To-Enter
Owners of Record of Affected Land (Surface Area) and Owners of
Substance to be Mined
Municipalities Within Two Miles
Proof of Mailing of Notices to County Commissioners and Soil
Conservation District
Proof of Filing with County clerk or Recorder
Permanent Man-Made Structures
ADDENDIIM 1 - Notice Requirements (sample enclosed)
Geotechnical Stability Exhibit (any required sections)
The instructions for preparing Exhibits A-S, Addendum 1, and Geotechnical Stability Exhibit
are specified under Rule 6.4 and 6.5 and Rule 1.6.2(1)(b) of the Rules and Regulations. If
you have any questions on preparing the Exhibits or content of the information required, or
would like to schedule a pre-application meeting you may contact the Office at 303-866-3567.