PERMFILE109479

• Permit No: M2004051
• IBM Index Class Name: Permit File
• Doc Date: 7/14/2004
• Doc Name: New 112c Appl
• From: Aggregate Industries - WCR Inc.
• To: DMG
• Media Type: D
• Archive: No

-4-
15. DescrintioaotAmendmentorConversion: n/a
If you are amending or converting an existing operafion, provide a brief narrative desrnbing the proposed change(s).
Mans and Exhibits:
Two (2) complete, unbound application packages must be submitted. One complete application package consists of a signed application
form and the set ofmaps and exhrbils referenced below as Exhibits A-S, Addendum I, and the Geotechnical Stabrlity Exhibit Each exlnbit
withunthcapplicationtmrstbepresentedasaseparatesection. Bcgineachexlubitonanewpage. Pagesshouldbenumbetedconsecutively
for ease of reference. H 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 of the maps a~ exhibits as described in the
following references to Rule 6.4, 6,5, and 1.6.2(1)(6):
EXHIBITA Legal Description
EXHIBIT B Index Map
EXHIBIT C Pre-Mining and Minin~o Plan Map(s) of Affected Lands
EXHIBIT D Mining Plan
EXIIIDIT E Reclamation Plan
EXHIBIT F Reclamation Plan Map
EXhIIBIT G Water Information
F-XF~IT H WIldlife Information
EXIIIBII'I Soilsliformation
EXI~TI' J Vegetation Information
EXHIBIT K Climate Infomration
EXIIIDTT L Reclamation Costs
EXHIDIT M Other Perffits and Licenses
EXHIBIT N Source of Legal Right-To-Eater
EX1IIl31T O Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined
EXHIBIT P Municipalities Within Two Miles
EXHIDTf Q Proof of Mailing of Notices to Co~mty Co~ssioners and Conservation District
fiXIIIBIT R Proof of Filing with Cotmty Clerk or Recor~~der
EICIIIBTT S Permanent Man-Made Strucoaes
Rule 1.6.2(1)(6) ADDENDUM 1 -Notice Requirements (sample enclosed)
Rule 6.5 Geotechnical Stability Exhibit (ate requited sections)
The instructions for preparing Exhibits A-S, Addendtm I, and Geoteclnucal Stability Exhibit aze specified under Rule 6.4 and 6.5 and
Rule 1.6.2(1)(6) of the Rules and Regulations. If yon have any questions on preparing the Exhrbits or content of the information required,
or would like toschedule apre-application meeting you may contact tiu Office at 303-866-3567.