2008-04-25_REVISION - M1992113

• Permit No: M1992113
• IBM Index Class Name: REVISION
• Doc Date: 4/25/2008
• Doc Name: New Amendment Appl
• From: Bent County
• To: DRMS
• Type & Sequence: AM2
• Media Type: D
• Archive: No

-5-
Vlags and Exhibits:
Two (2) complete, unbound application packages must be submitted. One complete application package consists of a signed application
form and the set of maps and exhibits referenced below as Exhibits A-S, Addendum 1, and the Geotechnical Stability Exhibit. Each exhibit
within the application most be presented as a separate section. Begin each exhibit on a new page. Pages should be numbered consecutively
for ease of reference. If separate documents are used as appendices, please reference these by name in the exhibit.
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 references to Rule 6.~, 6.5, and 1.6.2(1)(b):
EXHIBIT A Legal Description
EXHIBIT B Index Map
EXHLBI'I' C :Pre-Mining and iviining Plan Map{s} of Affected Lands
EXHIBIT.' D Mining PIan
EXHIBIT E Reclamation Plan
F,XHIBIT I:
E.X.HIBIT G
EXHIBIT II
EXHI.BI'I' I
EXHIBIT J
EXHIBIT K
}.;XFIIBIT I,
Reclamation Plan Map
Water Information
Wildlife Information
Soils Information
Vegetation Information
Climate Information
Reclamation Costs
EXI-III3I'C' ivi Other Permits and Licenses
EXHIBIT N Source of Legal Right 'I'o-Enter
EXHIBIT O Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined
EXHIBIT P Municipalities Within Two Miles
EXHIBIT Q Proof of Mailing of Notices to County Commissioners and Conservation District
EXI-IIBIT R Proof of Filing with County Clerk or Recorder
EXEIIBIT S Permanent Man-l~iade Structures
Rule 1.G.2(i)(b) A.DD_ENDULI 1 -Notice Requirements (sample enclosed)
Rule 6.5 Geotechnical Stability Exhibit (any required sections)
'fhe instructions far preparing Exhibits A-S, Addendum 1, and Geotechnical Stability F.,xhibtt are specified under Rule 6.~ and 6.S anci
Rule 1..6.2(1.){b) of the Rttles and Regulations. If you ha~•e any questians on preparing the Exhibits yr content of the i.nfarmation required,
or would Like to schedule a. pre-applicatian:meeting yi~u inay contact the f}tfce at 3t}3-$tib-3.56?.
~i.espottsibi:Iities as a Perrnittee_
lJpon application approvat and permit issuance, this application becomes a legally binding document. "I"heref:ore, there are a
number of important requirements which. you, as a permittee, should fully understand. These requirements are listed below.
Plcasc read and initial each requirement, in the space provided, to aekno«~ledge that you understand your obligations. If you do
not understand these obligations then please contact this Office for a full explanation.
~'_$_- 1. Four obligation to reclaim the site is not lin~.ited to the amount ofth.e financial warranty: `r'ou assume legal
liability fur all reasonable expanses which the Hoard or th.e Ot~ice may incur to reclaim the affected lands associated
with your mining operation. in the event your permit is revoked and financial ~~~arranty° is firrfeited;
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