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~~ I5. Descrivtion of Amendment or Conversion: 39 39 08/0 000 12:30P 8603 P~pP 6 of 32 R 0.00 D 0.00 Elbe! County CO - 4 - If you are amending or converting an existing oper2ation, provide a brief narrative describing We proposed change(s). ` ~C~b-er-~ ~ \~r>~~ ~ "r;c~~1P -~~ ~C, \t~P l~ C1M~Enf`~ ~.P c'PC~~~~i? ~c ~~Z a~oL~ c z1-~ on b.tr ~Px r~arcl~ r~C ~M~P ~` ~.~c-r ~ ~k ZZ .Z t,t?C' M, ~"~~ C'A~C-C'„e-~5_ ~D ~l~ . ~ C~G~e r5 ,c.- n "moo-~'~ ., ~ ~~- a ~`~ ~ a~ -~~ .1.9 '~ t- CS Mks aod~xhi{~s: Five (5) complete, unbound application packages must be submined. Ove 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 ss 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 byname in the exhibit. With each of the five (5) signed application farms, you must submit a cortesponding set of the maps and exhibits as described in the following references to Rule 6.4, 6.5, and 1.6.2(1)(6): EXI-IIBIT A Legal Description EXI SIT B Index Map EXHIBIT C Pre-Mining end Hiving Plan Map(s) of Affected Lands to include the location of evy recorded easements EXHIBIT D Mining Plan EXI-1I81T E Reclamation Plan EXI-IIBIT F Reclamation Plan Map EXI SIT G Water Information EXI-IIBIT H Wildlife Information EXHIBIT I Soils Information EXHIBIT ] 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 EXHBIT 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 EXHBBIT R Proof of Filing with Cotmty Clerk or Recorder EXHIBITS Permanent Man-Made Structures Rule 1.6.2(1)(6) ADDENDUM 1 -Notice Requirements (sample enclosed) Rule 6.5 Geotechvical Stability Exhibit (any required sections) The instmctions for preparing Exhibits A-S, Addendum I, end Geotechvical Stability Exhibit are specified order Rule 6.4 and 6.5 and Rule 1.6.2(1)(6) of We Rules and Regulations. Ifyou have any questions ov preparing the Exhibits or content of the information required. or would like to schedule apre-application meeting you may contact the Office at 303-866-3567.