2007-04-06_REVISION - M2007003

• Permit No: M2007003
• IBM Index Class Name: Revision
• Doc Date: 4/6/2007
• Doc Name: Revised Complete Application Package- Copy
• From: AG Engr.
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

4-
12. Primary future (Post-minine) land use (check one):
Cropland(CR)
~. Rangeland(RL)
_ Residential(RS)
peveloped Water Resources(WR)
3. Primary aresent land use (check onej:
_ Cropland(CR)
.~, Rangeland(RL)
_ Residential(RS)
_ Developed Water Resowces (WR)
_ Pastweland(PL) _ General Agriculture(GA)
Forestry(FR) _ Wild&feHabitat(Wl.)
_ Recreation(RC) _ Industrial/Commercial(IC)
Solid Waste Disposnl(WD)
_ Pastureland(PL) _ General Agriculture(GA)
Forestry(FR) _ Wildlife T{abitat(WL)
_ Recreation(RC) _ IndustriallCommercial(IC)
_ Mining (MN)
14. Lf this operation will use designated chemicals, or will result, or presently has acid minedrainage -you cannot use this application
form. You must submit either a l l Ud or ] 32d application form for Designated Mining Operations. In either case, you must list
any acidic or toxic-forming materials, exposed or disturbed as a result of the nvning operation, and whether thg o emtion will
r sultinorpres ntly as acid edraina e:~~ ppe(C~ltm ti~~~l lj ~' . Q','(1 O{ Q,~
c~etS~~}e~ e~anicn~S. ~-i~ha~ ~~-- w111 rx~~ P~~~ oca`~ m~i~e.., r~u7t~
/.~.. l n. .rcvi .. L m. M1 n a __ J
I S. Description of Amendment or Conversion:
are amending or
Maos & Exhibits:
an existing operation, provide a
Submit two (2) complete, unbound copies of the following application exhibits:
the
6.3.1 EXHIBIT A -Legal Description and Location Map
6.3.2 EXHJBI"I' B -Site Description
6.3.3 EXHIBIT C -Mining Plan
G.3.4 EXHIBIT D -Reclamation Plan
G.3.5 EXHIBIT E -Maps, to include the location of any recorded easements
6.3.6 EXHIBIT F - List of Other Permits and Licenses Required
6.3.7 EXH1B1'f G -Source of Legal Right-to-Enter
6.3.8 EXHIBIT H -Municipalities Within aTwo-mite Radius
6.3.9 F.XHIBI"f I - Proof of Filing with County Clerk
6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application
6.3. I Z EXHIBIT L -Permanent Man-Made Structures
1.G.2(1}(b) ADDENDUM 1 -Notice Requirements (sarrtple enclosed)
G.5 Geoteehnicai Stability Exhibit (as required)