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PERMFILE124449
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PERMFILE124449
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Entry Properties
Last modified
8/24/2016 10:22:01 PM
Creation date
11/25/2007 12:39:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2005059
IBM Index Class Name
Permit File
Doc Date
8/1/2005
Doc Name
112 Permit Application Form
From
asphalt specialties co inc
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dmg
Media Type
D
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No
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-5- <br />Maps and Eahibits: <br />Two (2) complete, unbound application packages must be submitted. One complete application package consists of a signed applicationfotm <br />and [he set of maps and exhibits referenced below as Exhibits A-S, Addendum 1, end the Geotechnica] Stability Exhibit Each exhibit within the <br />application must be presented as a separate section. Begin each exhibit on a new page. Pages should be numbered consecutively for ease of <br />reference. If sepazate 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 and exhibits as described in the Following <br />references to Rule 6.4, 6.5, and 1.6.2(])(b): <br />E3CHIBIT A Legal Description <br />EXI-IIBIT B Index Map <br />EXHIIDIT C Pre-Mining and Mining Plan Map(s) of Affected Lands <br />EXHIBIT D Mining Plan <br />EXE-IIBIT E Reclamation Plan <br />EXHIBITF Reclamation Plan Map <br />EXHIBIT G Water Information <br />EXHIBIT H Wildlife Information <br />EXHIBIT I Soils Information <br />EXHIBIT J Vegetation Information <br />EXI~IT K Climate Information <br />EXI lIDIT L Reclamation Cosa <br />EXHIBIT M Other Permits and Licenses <br />EXFIIBIT N Source of Legal Right•To-Enter <br />EXI-IIBIT 0 Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined <br />EXHIDIT P Municipalities Within Two Miles <br />EXHIBIT Q Proof of Mailing of Notices to County Commissioners and Conservation District <br />EXHIBIT R Proof of Filing with County Cierk or Recorder <br />EXHIBITS Permanent Man-Mado Structures <br />Rule 1.6.2(1)(b) ADDENDUM i -Notice Requirements (sample enclosed) <br />Rule 6.5 Geotechnical Stability Exhibit (any required sections) <br />The instructions for preparing Exhibits A-S, Addendum 1, and Geotechnical Stability Exhibit are specified under Rule 6.4 and 6.5 and <br />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 <br />would like to schedule apre-application meeting you may contact the Office at 303-866-3567. <br />Responsibilities as a Permittee: <br />Upon application approval and permit issuance, this application becomes a legally binding document. Therefore, there are a <br />number of important requirements which you, as a permittee, should fully understand. These requirements aze listed below. <br />Please read and initial each requirement, in the space provided, to acknowledge that you understand your obligations. Ifyou do not <br />understand these obligations then please contact fnis Office for a full explanation. <br />1. Your obligation to reclaim the site is not limited to the amount of the financial warranty. You assume legal <br />liability for all reasonable expenses which the Board or the Office may incur to reclaim the affected lands associated <br />with your mining operation in the event your permit is revoked and financial warranty is forfeited; <br />
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