PERMFILE129402

• Permit No: M2007069
• IBM Index Class Name: Permit File
• Doc Date: 9/24/2007
• Doc Name: Reclamation permit application
• From: Centennial State Paving, Inc.
• To: DRMS
• Media Type: D
• Archive: No

-5-
1lfapa and Eshbid:
Two(2)campkte, un6omtd applicatim padreges nnrst besubmittcd Otxoompleteapplieaticn pecdcagemnsists ofasigtted appticationfartn
and the set ofmaps atrdextubitstefa~enced below u FxhibitsA-S, Addendum I, and the Cm~dvtical StabdiryFxh'bit. Eachexhitrilwitbmthe
applicatim must be preserved asastpemte tectim Bcgin eachexhibitmanewpage. Pages should be numbatd coawcutivety fm ease of
mf'ereace. Useparate dtxxrmmis eR used es appendices, please rekte~e these by name m the exhibit
With each of dte two (2) signed appls~ation fomq you must submit a caccspadmg set afthertnps atdcdtibits as described in tlx:follaving
references to Rule 6.4, 6.5, and 1.6.2(1x6):
I?0-IIBiT A I.egel Descrip6m
I~QBBITB Index Map
ESff~IT C Pa Mining a>d Mum~g Plan Map(s) of Affected Lmds
EX[-®ITD Mining Plan
EXHIBIT E Reclammim Plan
EXHBIT F Reclarttatim Plan Map
EXH®IT G Weser informafim
E7CtI1B1TH Wildlife lnformatim
E7tIRBIT 1 Soils laformmim
FJQ{IB[T J Vegetatim btfarmatim
EXH®rf K Climate Id'amtrvion
EXHIBIT L Reclamation Cosh
17a-IB1T M Otber Pemuls and licenses
EXFDBIT N Bootee of Legal ]tight-To-l3uer
TaQ-RBff O Owners of Reoord d'AiTecled Lmd (Swface Amer) e~ Owcers of Substmce to be Muced
ESOifBtT P Mmdcipalitiec Krdhin Twv btila
E7ffI1BIT Q Proof of Mailing of Notices m Coutup Cmtmissimexs and Cmservatim IhsVict
EXI-®IT R Proofof filing wild Cmmty Clek w Racader
EXH®IT S Pammtad Mao-Madc Smxuaes
Rule 1.6.2(1 xb) ADDENDUM 1 - Notice Regtdtranents (sample enclosed)
Ruk 6.5 Geotechnical Stability Exhibit (anp requited sections)
The irMnsAions fcr prcperiag Ex6tbits A-5, Addeodtmt t, and Gmtechtticel 5tabditp Fxhi6it are spacifred uada Ruk 6.4 and 6.5 and
Rule 1.6.2(lxb) of the Rules and Regulations. Ifym have mY gtrestiotw m prepsriagthe Fvthibns arcmtent ofthe mtormatim requuW, or
world tike to 5t:heduk a pte-appticgim mceting you map mnlatt We Officc at 303-gGG-3567.
Rcttwmibilitks u a PerrrtiUe~:
l)pan application approval and ptYmit issuarsce, this application bananas a legally binding docmnaa. Therefore, them are a
ntmtber of unportaot roquirerooas wltitdt Yoq as a permittee, shouN fully utderstard. Thtse regttirements are listed below.
Pleaure~attd;aitialeachcequQement,inthcspace~ovided,toackrowledgethatyouwtderstaadwtuobligaliaaz (fyoudorot
these obligtlliws then please txmtaG this Ctf6ce for a fall explanation.
1. Your oblige[iao to rmlaim the site ks rot limited to the amount of the financial warranty. You assume legal
liability for all reasonable exposes which the Board or the OfTice rosy incar to mdaim the affetxed lands assotaated
with your routing operatioe N the evem you permit is revoked and fmmscial warranty is forfeittd;