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<br />- 4 - <br />I5. Descrieston of Amendment or Conversion: <br />C, <br />ffyou are amending or converting au existing operation, provide a brief narrative describing We proposed change(s). <br />mh;c is a new permit ap~liaation <br />Mans and Exhibits: <br />Five (5) complete, unbound application packages must be submitted. Oae complete application package consists of a signed applcaton <br />form and We set of maps and exhibits referenced below as Exhibits A-S, Addendum 1, and the Geotechnical Stability Exhibit. Each <br />exhibit within the application mast be presented as a separate section. Begin each exhibit on a new page. Pages should be numbered <br />consecutively for ease of reference. If separate documents are used es appendices, please reference these by name in the exhibit. <br />With each of the five (5) signed application fonts, you must submit a corresponding set of the maps and exhibits as described in the <br />following references to Rule 6.4.6.5, and 1.6.2(1)(b): <br />EXHIBIT A Legal Description <br />EXI-IIBIT B Index Map <br />EXI IIB1T C Pre-Miuing ead Hieing Plan Map(s) of Affected Lands to include We location of any recorded <br /> easements <br />EXI-tIBIT D Mining Plan <br />EXHIBIT E Rechtmation Plan <br />EXI-IIBIT F Reclamation Plau Map <br />EXHBBIT G Water lnfarmation <br />EXHBIT H Wildlit'e Information <br />EXHIBIT 1 Soils Information <br />Ek7 SIT J Vegetation Ltformation <br />EXI-SIT K Climate Information <br />EXI-III3TT L Reclamation Costs <br />EXI IIBIT M Other Permits and Licenses <br />EXI IIBIT N Source of Legs! Right-To-Enter, to include holders of any recorded easements <br />EXI-IIDIT O Owaers of Record of Affected Lend (Surface Area) and Owners of Substance to be Mined, to include <br /> holders of any recorded easements <br />EXHIBIT P Municipalities Within Two Miles <br />EXHII3IT Q Proof of Mailivg of Notices to County Commissioners and Soil Conservation District <br />EXHIBIT R Proof of Filing with Countv Clerk or Recorder <br />EXHIBITS Permanwt Man-Made Structures <br />Rule 1.6.2(1)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />Rule 6.5 Geotechnical Stability Exhibit (any required sections) <br />The inswctions for preparing Exhibits A-S, Addendttm I, and Geotechnical Stability Exhibit are specked under Rule 6A and 6.5 and <br />Rule 1.6.2(1)(b) of the Rules and Regulations. ff you have any questions on preparing the Exhibits or content of We information required, <br />or would like to schedule apre-application meeting you may contact the Office al 303-866-3567. <br />