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-4- <br />15. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />N/A <br />Maps & Exhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits: <br />6.3.1 EXHIBIT A - Legal Description and Location Map <br />6.3.2 EXHIBIT B - Site Description <br />6.3.3 EXHIBIT C - Mining Plan <br />6.3.4 EXHIBIT D - Reclamation Plan <br />6.3.5 EXHIBIT E - Maps, to include the location of any recorded easements <br />6.3.6 EXHIBIT F - List of Other Permits and Licenses Required <br />6.3.7 EXHIBIT G - Source of Legal Right-to-Enter <br />6.3.8 EXHIBIT H - Municipalities Within a Two-mile Radius <br />6.3.9 EXHIBIT I - Proof of Filing with County Clerk <br />6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXHIBIT L - Permanent Man-Made Structures <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 permit issuance, this application becomes a legally binding document. Therefore, there are a <br />number of important requirements which you, as a pennittee, should fully understand. These requirements are listed below. <br />Please read and-in iti al each requirement, in the space provided, to acknowledge that you understand. your obligations. If you <br />do not understand these obligations then please contact this Office for a full explanation. <br />CW & 1. Your obligation to reclaim the site is not limited to the amount of the financial warranty. You assume legal <br />liability for all reasonable expenses which the Board or the Office may incur to reclaim the affected lands <br />associated with your reining operation in the event your permit is revoked and financial warranty is forfeited; <br />CMG 2. The Board may suspend or revoke this permit, or assess a civil penalty, upon a finding that the penmittee <br />violated the terms or conditions of this permit, the Act, the Mineral Rules and Regulations, or that infonnation <br />contained in the application or your permit misrepresent important material facts; <br />3. If your mining and reclamation operations affect areas beyond the boundaries of an approved permit <br />boundary, substantial civil penalties, to you as perrrttee can result; <br />CV)& 4. Any modification to the approved mining and reclamation plan from those described in your approved <br />application requires you to submit a pen-nit modification and obtain approval from the Board or Office; <br />('l)(Zr 5. It is your responsibility to notify the Office of any chances in vour address or phone number,-.