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- 4 - <br />1S. l~ptlon of ,t~endment or Coiwerston: <br />If you are amending or canvetting an existing operation, Provide a brief narrative describing the proposed change(s). <br />This conversion will add 40.83 acres to the existing permitted area and convert the permit from a 110 operation <br />to a 112 operation. <br />Five (5) complete, uubamd application p~kages mum be submitted. Ooe complete app}icalien package consists of a signed application <br />farm and the set ofmaps and exhibits referenced below as Exhibits A-S, Addendum 1, and the Geotochnical Stability Exhibit Each <br />exhibit within the application mast ba presented as a separate section. Begin each exhibit ~ a new page. Pages should be mrmbered <br />conseentivdy for ease of reference. If separate documents are used as appendices, Please reference these byname in the exhibit <br />With each of the five (5) sigced application forms, You must submit a carrespondiug set of the maps and exhibits as described in the <br />following references to Role 6.4, 6.5, and 1.6.2(lxb): <br />EXHIBIT A Legal Description <br />EXHIBIT B Index Map <br />EXHB3IT C Pro-Mining and Mining Plea Map(s) of Affected Lands to include the location of any recorded <br />easements <br />EXHIBIT D Miuiag Plan <br />EXHIBIT E Reclamation Plan <br />EXHIBIT F Reclamation Plan Map <br />EXHIBTT G Water Information <br />E?IIDBIT H Wildlife Information <br />EXHIBIT I Soils Information <br />F_XFIIBIT J Veg~aticn Information <br />EXHIBIT K Climate Information <br />EXHIBTT L Reclamation Cosh <br />EXH~IT M "Other Permits and Lioeasea <br />EXk~IIBIT N Source of Legal Right-To-Enter, to inchrde holders of any reocsded easements <br />EXHIBIT O Owners of Reemd of Affected Land (Surface Area) and Owners of Substance to be Mined, m include <br />holders of any recmided easements <br />EXHIBTT P MunicipaliRes Within Two Miles <br />EXFIIBIT Q Proof of Maffin' g of Notices to Coenty Commissioners a~ Soil Conservation District <br />EXHIBIT R Proof of Filing with County Clerk or Recorder <br />EXIII$IT S PermeneM Man•Made Strucdures <br />Role 1.6.2(1)(b) ADDENDUM 1 -Notice Regnv~ents (sample enclosed) <br />Rule 6.5 Geotochnical Stability Exhibit (auy required sections) <br />The instructions for preparing Exhibits A-S, Addendum 1, and Geotechoical Stability Exhibit are specified nndet' Rule 6.4 end 6.5 and <br />Rule 1.6.2(1)(b) of We Rules a~ Regulations. Jf you have any questions en preparing the Ex6rbiro or content of the infarmation inquired, <br />ar would like to schedule apre-application meeting yon may contact the Office at 303-866-3567. <br />