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<br />-4- <br />1 ~. Description of Amendment or Conversion: <br />If you aze amending or converting an existing operation. provide a brief narrative describing the proposed change(s). <br />APPLICABLE********** <br />Maos and Exhibits: <br />Five (5) complete. unbound application packages must be submitted. One complete application package consists of a signed application <br />form and the set of maps and exhibits referwced below as Exhibits A-S, Addendum I. and the Geotechnical Stability Exhibit. Each <br />exhibit within the application must be presented as a separate section. Begin each exhibit on a new page. Paees should be numbered <br />consecutively for ease of reference, if separate documents are rued as appendices, please reference these byname in the exhibit. <br />With each of the five (5) signed application form,, you must submit a cortesponding set of the maps and exhibits as described in the <br />following reti:rences to Rule 6.4.6.5, and 1.6.2(1)(6): <br />EXl IIBIT A Legal Description <br />EXI®IT B Index Map <br />E)iI IIBIT C Pre-Mining and Mining Plan Map(s) of Affected Lands to include the location of auy recorded <br /> easements <br />EXI~IT D Mining Plan <br />EXF®IT E Reclamation Plan <br />EXHIBIT F Reclamation Plan Map <br />EXHIBIT G Wafer Information <br />EJCIII131T H Wildlife Information <br />EXI-IIBIT I Soils Information <br />EXFIIBIT 1 Vegetation Information <br />EXItIBIT K Climate Liformation <br />EXI QBiT L Reclamation Costs <br />EXi IIBIT M Other Permits and Licenses <br />EXIffBIT N Source of Legal Right-To-Enter, to include holders of any recorded easements <br />Ek11I131T O Cn~vers of Record of Affected Land (Surface Area) and Owners of Substance to be Mined, to include <br /> holders of any recorded easements <br />E?a-IIBIT P Municipalities Within Te'o Miles <br />EXIfIBIT Q Proof of Mailing of Notices to Counh' Commissioner and Soil Conservation District <br />EX11IB[T R Proof of Filing with County Clerk or Recorder <br />EXIITBIT S Permanent Man-Made Swc[ures <br />Rule 1.6.2(1)(6) ADDENDl1M I -Notice Requirements (sample enclosed) <br />Rule 6.5 Geotechnical Stability Exhibit (any required sections) <br />The inswctions for preparing Exhibits A-S, Addendum I, and Geotechnical Stability Exhibit are specified under Rule 6.d and 6.5 and <br />Rule 1.6.2(1)(6) of dte Rules and Regulations. If you have any questions on preparing the Exhibits or content of the information requred. <br />or would like to schedule apre-application meeting you may contact the Office at 303-866-3567. <br />