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J~ <br />15. i?nerlotloo orAmeodmeat or Coevenlee: <br />. _q_ <br />If you are mnending a converting an existing operation, provide a brief earradve desa+bing the <br />Expanding the ,resent 3-acre quarry site to a <br />Submit two (2) complete, unbound copies of the followings +non exhibits: <br />6.3,1 EXHIBTT A -Legal Description and Lowuon Map <br />6,3.2 EXHIBPf B -Site 1)eacriprion <br />6.3.3 <br />6.3,4 <br />6.3.5 <br />6.3,6 <br />6.3.7 <br />6.3.8 <br />6.3.9 <br />- _ 6.3.10 <br />6.3.12 <br />1.6.2(1)(b) <br />6.5 <br />F-XFILBfI' C -Mining Plan <br />EXI•III3Tf D - Reclatnatioa Plan <br />~ change(s): <br />re quarry, site. <br />RECE~VEp <br />APR 13 yp05 <br />$JfI'II81T E -Maps, to include the lacatior of any trxorded oeasements r Minerals and CeologY <br />EXHIAlI ; -List of Other Permits and Lic_enaes Requirod <br />EXliB3i'I' G -Source of Legal Right-YO•Bnter <br />EXHIBIT H -Municipalities within a Tw smile Radius <br />E7~DBIT I - Proof of Filing with County Cleric <br />EXHIBIT J - Proof of Mailing Notieea of Permit Application <br />EXHIBIT L • '°'. -~ ~u'tYens Man-Made Structures <br />ADDENDUM 1 -Nonce Requirements (sample enclosed) <br />Creotechnicai Stability Exhibit (as required) <br />13eaooyalblllttea as a Pesmtttce: <br />Upon application approval and permit issuance, this application beeames a legally binding document. Therefore, there are a <br />number of important requitetrtettt,4 which you, as a pemtittee, should fully u^~rwY ^~ TLeae ecquirameuts arc listed below. <br />PI read and initial each reuuu4•a~epS. in rite space provided, to admowledge that you utlderstaod your abligatiops. If you <br />;' do not un rand these oblit;atiooa then please contact this Office for a full explanation. <br />Il ~ <br />~=J J ~ 1. Your obligarian to roclaim the site is not limited m the amount of the financial warranty. You etssuwe legal <br />liability for all reasonable expenses which the Board or the Office may incerr to reclaim the atTocted lands <br />associated with your nutting operation in the event your permit is revoked and financial warranty is forfeited; <br />~'~ 2, The Board may suspend or revoke this permit, or assess a civil Penalty, upon a &adiag that the permittx <br />violated the terms or conditions of this permit, the Act, the Mineral Rules and Regulations. or that information <br />,~QQ contained in the application or your permit misrepresent itnportaat material facts; <br />(/1~ 3. If your mining and roclarmticn opcratiams affiect areas beyond the boundaries of an apptnved permit <br />boundary, setbstantial civil peoaltiw, ro you as permittee can ronelt; <br />~~ 4, Any modification to the approved uuning and reclamation plan froth those described in your approved <br />application requires you to submit a permit modification and obtain approval from the Board or Office; <br />/~ n I~ S. It is yonr responsibility to notitjr the Office of anY chanSea in your address o[ phone number; <br />