2006-01-10_REVISION - M1979103 (4)

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-5- Maas and Eahlbits: Two (2) complete, unbound application packages must be submitted. Oa complete application package consists of a signed applicationform and the set of maps and exhibits refers bebw as Exhibits A-S, Addendum 1, and the Geotechnical Stability Exhibit. Each edribit within the 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 dceuments 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 of the maps and exhibits as descrilxd in the following references to Rule 6.4, 6.5, and 1.6.2{ 1 xb): EXHIBfI A Legal Description EXHIBIT B index Map EXHIBIT C Pre-Mining and Mining Plan Map(s) of AfferAed Lands EXHIBIT D Mining Plan EXHIBIT E Reclamation Plm EJff-IIBIT F Reclamation Plan Map EXHQ3[T G Water Information EXHIBIT H Wildlife Information EXH(Bff I Soils Information EXHIBIT J Vegetation Information EXI flBff K Climate Information EXHIBIT L Reclamation Costs EXHIBIT M Other Permits and Licenses EXHIBTT N Source of Legal Right-To-Emter EXHBIT O Owrars of Record of Aflccted Land (Surface Area) and Owtrers of Substance to be Muced FJD-IIBIT P Municipalities Within Two Miles EXH®IT Q Proof of Mailing of Notices to County Commissioners and Conservation District EXHIBIT R Proof of Filing with County Ckrk or Rocorder EXHIBITS Permanent Man-Made Structures Rule 1.6.2(1)(6) ADDENDUM I -Notice Requvements (sample enclosed) Rule 6.5 GeWechnical Stability Exhibit (any required sections) The insauctiorts for preparing Exhibits A-S, AdderaNm 1, and Geotechnical Stability Exhibit ere spccifi~ under Ruk 6.4 and 6.5 and Rule 1.6.2(1 xb) of the Rules and Regulatiorrs. Ryou have any questions on preparing the Exhibits or content of the information required, or would like to schedule apre-application meeting you may contact the 06ce et 303-g6G-3567. ResrottsibiGties as a Permittce: Upon application approval and permit issuance, this application becwrtes a legally binding docmnenL Therefore, there are a number of importer[ requiremerts which you, as a permittce, should fully understand. These requirements are listed below. Please read and initial each requirement, in the space provided, to aclatowledge that you understand yottrobbgations. Ifyoudo rot utderstand these obligations then please contact this Office for a full explanation. 1. Your obligation to reclaim the site is not limited to the amount of the financial warranty. You assume legal liability for all reasonable expenses which the Hoard w the Office may incur to reclaim the affected lands associated with ytwr mining opaation in the even your permit is revoked and financial warranty is forfeited; P~ ,~.