_PERMIT FILE - M2000002 ‎(18)‎

• Permit No: M2000002
• IBM Index Class Name: Permit File
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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15. Description of Amendment or Conversion:
If you are amending or converting an existing operation, provide a brief narrative describing
the proposed change(s) .
N/A
Kaps and Ecchibite:
I
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, Addendum 1, and the Geotechnical Stability Exhibit. Each exhibit
within the application must 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, 6.5, and 1.6.2 (1) (b) :
EXHIBIT A Legal Description
EXHIBIT B Index Map
EXHIBIT C Pre-Mining and Mining Plan Map(s) of Affected Lands to include the
location of any recorded easements
EXHIBIT D Mining Plan
EXHIBIT E Reclamation Plan
EXHIBIT F Reclamation Plan Map
EXHIBIT G Water Information
EXHIBIT H Wildlife Information
EXHIBIT I Soils Information
EXHIBIT J Vegetation Information
EXHIBIT K Climate Information
EXHIBIT L Reclamation Costs
EXHIBIT M Other Permits and Licenses
EXHIBIT N Source of Legal Right-To-Enter, to include holders 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 County Clerk or Recorder
EXHIBIT S Permanent Man-Made Structures
Rule 1.6.2 (1) (b) ADDENDUM 1 - Notice Requirements (sample enclosed)
Rule 6.5 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.