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-4- <br />15. On SiteProcessine: % Crushing/Screening ISNTALL DEWATERING TRENCH AROUND PERIIiETER <br />13.1 Briefly explain mining method (e.g. trucktshovel): <br />O~FTpPHASE,-STRIP TOPSOIL AND OVERBURDEN WITH SCRAPERS OR DOZERS, REMOVE AGGREGATE <br />Listany a s~e~~ 1~ri~s~ producing materials to be used or stored within permit area: 55 GAL DRHMS OF <br />" ANTIFREEZE, HYDRAULIC OIL, ENGINE OIL, AND OTHER LUBRICANTS; 10,000 GAL TANK OF <br />DIESEE FBEL; AND 1,000 GAL TANK OF GASOLINE. <br />16. Description of Amendment or Conversion: <br />Ifyou are amending or converting an existing operntioq provide a briefnarrative describing the proposed change(s). <br />Maps and Exhibits: <br />Two (2) complete, unbound application packages must be submitted. One complete application package consists of a signed application <br />form and the set ofmaps and exhibits referenced below as Exhibits A-S, Addendum 1, and the Geotechnical Stability Exhibit Each exhibit <br />within the application must be presented as a separnte section. Begin each exhibit on a new page. Pages should be numbered consecutively <br />for ease of reference. If separate documents are used as appendices, please reference these by name in the exhibit <br />With each of the two (2) signed application forms, you must submit a corresponding set of the maps any exhibits as described in the <br />following references to Rule 6.A, 6.5, and 1.6.2(1)(6): <br />EXHIBIT A Legal Description <br />EXHIBIT B Index Map <br />EXHIBIT C Pre-Mining and Mining Plan Map(s) ofAffected Lands <br />EXHIBIT D Mining Plan <br />EXHIBIT E Reclamation Ptan <br />EXHIBIT F Reclamation Plan Map <br />EXHIBITG Waterlnformation <br />EXHIBITH Wildlifelnformation <br />EXHIBIT I Soils Information <br />EXHIBIT I Vegetation Information <br />EXHIBITK Climate Information <br />EXHIBIT L Reclamation Costs <br />EXHIBIT M Other Permits and Licenses <br />EXHIBITN Source of Legal Right-To-Enter <br />EXHIBIT O Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined <br />EXHIBIT P Municipalities Within Two Miles <br />EX111BIT Q Proof of Mailing of Notices to County Commissioners and Conservation District <br />EXHIBITR ProofofFilingwithCountyClerkorRecorder <br />EXHIBITS ~ Permanent Man-Made Structures <br />Rule 1.6.2(])(6) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />Rule 6.5 Geotechnical Stability Exhibit (any required sections) <br /> -5- <br />