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