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- 4 - <br />15. Deacription of Amendment or Conversion: <br />L`. yon are amending or converting an existing operation, provide a brief nazrative describing the proposed change(s). <br />-- ~ ` .~~ v0 rec~al'YLQS~LOt~ <br />Moos and Exhibits: <br />Five (5) complete, tmbo~d application packages must be submitted. One complete application package consists of a signed application <br />form and the set of maps and exhibits referenced below as Exhrbits 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. Tf separate documents are used as appendices, please reference t)tese by name in the exhibit. <br />With each of the five (5) signed application forms, 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)(6): <br />EXHIBIT A Legal Description <br />EXHIBIT B Lzdex Map <br />EXHIBff C Pre-Mining and Mining Plan Map(s) of Affected Lands <br />EXI-IIBIT D Mining Plan <br />EXHIBIT E Recltmation PLm <br />EXEIIBIT F Reclamation Plan Map <br />EXHBIT G Wa[er Infotmation <br />EXHIBIT H Wildlife Information <br />EXHIBIT I Soils Information <br />EXI-IIBIT J Vegetation Information <br />EXHIBIT K Climate Information <br />EXHIBIT L Reclamation Costs <br />E.li~iT M Other ?etmiG and Licenses <br />E.`O~BIT N Scarce of Legal Righ?-To-Enter <br />EXI-LIB[T O Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined <br />EXHIBIT P I~[unicipalities Within Twv Miles <br />E`Q~IT Q Proof of hailing of Notices to Cocety Commissioners and Conserrativn District <br />EXHIBIT R Proof of Filing with County Clerk or Recorder <br />EXHIBITS PermanentMan-Made Strnctares <br />Rule 1.6.2(1)(6) ADDENDUM 1 - ~+otice Requirements (sample enclosed) <br />Role 6.5 Geotechttical Stability Exhibit (anc required sections) <br />The instructions for preparing Exhibits A-S, Addendum 1, and Geotechnical Stabiliy Exhibit are specii:ed undr. Rule 6.4 and 6.5 and <br />Rule 1.6.2(1)(6) of the Rules and Regulations. If you have any questions on preparing the Exhibits or content of the information requirea, <br />or would h7te to schedale apre-application meeting yon may contact the Office of 303-866-3567. <br />