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-4- <br />15. Deacriotion of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />NA <br />Moos & Ezhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits: <br />6.3.1 EXHIBTT A -Legal Description and Location Map <br />6.3.2 EXHIBIT B -Site Description <br />6.3.3 EXI-IIBIT C -Mining Plan <br />6.3.4 EXHIBIT D -Reclamation Plan <br />6.3.5 EXHIBTT E -Maps, to include the location of a~ recorded easements <br />6.3.6 EXHIBIT F -List of Other Permits and Licenses Required <br />6.3.7 EXI-IIBIT G -Source of Legal Right-to-Enter <br />6.3.8 EXHIBIT H -Municipalities Within aTwo-mile Radius <br />6.3.9 EXHIBTT I -Proof of Filing with County Clerk <br />6.3.10 EXHIBTT J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXHIBIT L -Permanent Man-Made Struchues <br />1.6.2(1)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required) <br />Responsibilities as a Permittee: <br />Upon application approval and pewit issuance, this application becomes a legally binding document. Therefore, there aze a <br />number of important requirements which you, as a permittee, should fully understand. These requirements are listed below. Please <br />read and initial each requirement, in the space provided, to acknowledge that you understand your obligations. If you do not <br />urJ(ierstand these obligations then please contact this Office for a full explanation. <br />~`f~\ n~ 1. Your obligation to reclaim the site is not limited to the amount of the fmancial warranty. You assume legal <br />liability for all reasonable expenses which the Boazd 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 />2. The Boazd may suspend or revoke this pewit, or assess a civil penalty, upon a finding that the permittee vio]ated <br />the terms or wnditions of this pewit, the Act, the Mineral Rules and Regulations, or that information contained in the <br />application or your permit misrepresent important material facts; <br />3. If your mining and reclamation operations affect azeas beyond the boundaries of an approved permit boundary, <br />substantial civil penalties, to you as permittce can result; <br />4. Any modification to the approved mining and reclamation plan from those described inyour approved application <br />requires you to submit a permit modification and obtain approval from the Boazd or Office; <br />5. It is your responsibility to notify the Office of any changes in your address or phone number; <br />