PERMFILE103335

• Permit No: M2000052
• IBM Index Class Name: Permit File
• Doc Date: 4/18/2000
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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15. Descriptioa of Amendment or Conversioa:
you are amending or converting an existing operation, provide a brief nazrative describing
the proposed change(s).
Kaaa and Exhfbi.ts:
Five (5) complete, unbound application packages must be submitted. One complete application
package consists of a signed application form and the set of maps and exhibits referenced
below ae Sxhibita A-S and the Geotechnical Stability Exhibit. Bach exhibit within the
application moat be presented as a eepazate section. Begin each exhibit on a new page. Pages
should be numbered consecutively for ease of reference. If separate documents are used ae
appendices, please reference these by name in the exhibit.
With each of the five (5) signed application forme, you must submit a corresponding eat of the
maps and exhibits as described in the following references to Rule 6.4 and 6.5:
ERHIBIT A Legal Description
BXHIBIT B Index Map
EXHIBIT C Pre-Mining and Mining Plan Map(s) of Affected Lands
EXHIBIT D Mining Plan
EXHIBIT E Reclamation Plan
IBIT F Reclamation Plan Map
IBIT G Water Information
SXHIBIT B Wildlife Information
BXHIBIT I Soils Information
EXHIBIT J vegetation Information
EBBIBIT R Climate Information
EXBIBIT L Reclamation Costs
EXHIBIT H Other Permits and Licenses
EXHIBIT N Source of Legal Right-TO-Enter
EXHIBIT O Owners of Record of Affected Land (Surface Area) and Owners of
Substance to be Mined
E7tHIBIT P Municipalities Within Two Miles
ERBIBIT Q Proof of Mailing of Notices to County Commissioners and Soil
Conservation District
EXHIBIT R Proof of Filing with County Clerk or Recorder
EXHIBIT S Permanent Man-Made Structures
Rule 6.1.2(1)(b) ADDENDUM 1 - Notice Requirements (sample enclosed)
Rule 6.5 Geotechnical Stability Exhibit (any required sections)
The instructions for preparing Exhibits A-S, Addendum 1, and Geotechnical Stability Exhibit
are specified under Rule 6.4 and 6.5 and Rule 1.6.2(1)(b) of the Rules and Regulations. If
you have any questions on preparing the Exhibits or content of the information required, or
would like to schedule a pre-application meeting you may contact the Office at 303-866-3567.
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