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4- <br />15. Deacrio[ioo of Amendment or Conversion: <br />If you are amending or converting ao existing operation, provide a brief narrative describing the proposed change(s). <br />NA <br />Maoa aed Erhibita: <br />Five (S) complete, inbound application packages must be submitted. One complete application package consists of a signed application form <br />and the set of maps and exhibits referenced below as Exhibits A-S, Addendum 1, and the Geo[echnical Stability Exhibit. Each exhibit within <br />the application must be presented as a separate section. Begin each exhibit on a new page. Pages should be numbered coasecuively for ease <br />of reference. If separate documents are used as appendices, please reference These by name in the exhibit. <br />With each of the five (5) signed application forms, you must submit a wrtespondmg set of the maps and exhibits as described in the following <br />references to Rule 6.4, 6.5, and 1.6.2(1)(6): <br />EXI-IIBIT A Legal Description <br />E7{HIBIT B Index Map <br />EXl-IIBIT C Pre-Mining sad Mining Plm Map(s) of Affected Lands to include the location of any recorded easements <br />EXI-IIBIT D Mining Plm <br />EXI~IIBIT E Reclamation Plan <br />EXIIIBfI F Reclamation Plan Map <br />E3CHIBIT G Water Information <br />EXI-IiBII' H Wildlife Lnformation <br />EI{IBBIT I Soils Information <br />EXI-IIBIT J Vegetation Information <br />EXIIIBIT K Climate Information <br />EXIIIBIT L Reclamation Costs <br />EXI-IiBIT M Other Permits and Licenses <br />EXI-IIBIT N Source of Legal Right-To-Enter, to include holders of any recorded easements <br />EXFIIBIT O Owners of Record of Affected Laud (Surface Area) and Owners of Substance to be Mined, to include <br /> holders of any recorded easements <br />EJ{HIBIT P Municipalities Within Two Miles <br />E}CHIBIT Q Proof of Meiling of Notices to County Commissioners and Soil Conservation District <br />E}CIIIBIT R Proof of Filing with Cotmty Clerk or Recorder <br />E}CHIBIT S Permanent Man-Made Swctures <br />Rule 1.6.2(I)(b) ADDEND[JM 1 -Notice Requirements (sample enclosed) <br />Rule 6.5 Geotechnical Stability Exhibit (any required sections) <br />The iastnrctions for preparing Exhibits A-S, Addwdum 1, and Geotechnical Stability Exhibit are specified under Rule 6.4 and 6.5 and Rule <br />1.6.2(1)(6) of the Rules and Regulations. If you have any questions on preparing the Exhibits or content of the information requred. or would <br />like [o schedule apre-application meeting you may contact the Office a[ 303-866-3567. <br />