2004-07-08_REVISION - M1998054 (2)

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-4- 15. :Description of Amendment or Conversion: :ff you are amending or converting an existing operation, provide a brief narrative descaibing the proposed change(s). Adding 5,30 Acres adiacent to and North West of existing 9.99 Acre gravel pit. ' a sand E:hibita: Two (2) complete, umboumd application packages must be submitted. One complete application package consists of a signed applicationform and the: set ofmaps and exhibits referenced below as Exhibits A-S, Addendum 1, and the Geotechnical StabilityExhibit Each exhibit witluintlte application must be presented as 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 by name in the exhibit With each of the two (2) signed application forms, you must submit a corresponding set ofthe maps and exhibits as described in the following references to Rule 6.4, 6.5, and 1.6.2(lXb): EiXFIIBTT A Legal Description EiXFIIBTT B Index Map EXI-IIBTT C Pre-Mining and Mining Plan Map(s) of Affected Lands E'.70-IIBIT D Mining Plan E:XI-IIBTT E Reclamation Plan EXHIBTT F Reclamation Plan Map EXHIBIT G Water Information EXHIBTT H Wildlife Information EXHIBIT I Soils Information EXHIBIT J Vegetation Information EXHIBIT K Climate Information - EXHIBTT L Reclamation Costs EXIIIBTT M Other Permits and Licenses HXHIBTT N Source of Legal Right-To-Enter EXHIBIT O Owners of Recad of Affected Land (Surface Area) and Owners of Substance to be Mined E.XFIIBIT P Municipalities Within Two Miles ]i'~-llBTT Q Proof of Mailing of Notices to County Commissioners and Conservation District EXHIBTT R Proof of Filing with County Clerk or Recorder E:ffIIBIT S Permanent Man-Made Structures Rude 1.6.2(1)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) Rtde 6.5 t reotechnical Stability Exhibit (arty required sections) The instructions for preparing Extubits A-S, Addendum I, and Geotechniral Stability Exhibit are speciSed under Rule 6.4 and 6.5 and Rule 1.6.2(1)(b) of the Rules and Regulations. If you have nay questions on preparing the Exhibits or content of the information required., or would like to scheduie apre-application meeting you may contact the Office at 303-866-3567.