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700672 09/29/2010 03.20 PM B: 00988 P: 831 DOCUMENT <br />Page: 5 of 67 R $0.00 D $0.00 T $0.00 <br />Pamela M. Schneider Clerk d Recorder, Logan County, Cc <br />mill IV, PrAFRIMIKK `AMMUMli Yltd 14 11111 <br />-5- <br />Maps and Exhibits: <br />Two (2) complete, unbound application packages must be submitted. One complete application package consists ofa signed application <br />form and the set of maps and exhibits referenced below as Exhibits A-S, Addendum 1, and the Geotechnical Stability Exhibit. Each exhibit <br />within the application must be presented as a separate section. Begin each exhibit on a new page. Pages should be numbered consecutively <br />for ease of reference. If separate documents are used as appendices, please reference these by name in the exhibit. <br />With each of the two (2) signed application forms, you must submit a corresponding set of the maps and exhibits as described in the <br />following references to Rule 6.4, 6.5, and 1.6.2(1)(b): <br />EXHIBIT A Legal Description ? <br />EXHIBIT B ? Index Map <br />EXHIBIT C Pre-Mining and Mining Plan Map(s) of Affected Lands ? <br />EXHIBIT D ? Mining Plan ? <br />EXHIBIT E ? Reclamation Plan <br />EXHIBIT F ? Reclamation Plan Map <br />EXHIBIT G ? Water Information <br />EXHIBIT H ? Wildlife Information] <br />EXHIBIT I ? Soils Information J <br />EXHIBIT J ? Vegetation Information <br />EXHIBIT K ? Climate Information <br />EXHIBIT LV Reclamation Costs Y/ <br />EXHIBIT M ? Other Permits and Licenses <br />EXHIBIT N V' Source of Legal Right-To-Enter <br />EXHIBIT O ? Owners of Record of Affected Land (Syrface Area) and Owners of Substance to be Mined V' <br />EXHIBIT P Municipalities Within Two Miles <br />EXHIBIT Q Proof of Mailing of Notices to County Commissioners and Conservation District <br />EXHIBIT R Proof of Filing with County Clerk or Recorder ? <br />EXHIBIT S ? Permanent Man-Made Structures <br /> <br />Rule 1.6.2(1)(b) / <br />ADDENDUM I - Notice Requirements (sample enclosed) <br />Rule 6.5 Geotechnical Stability Exhibit (any required sections) <br />The instructions for preparing Exhibits A-S, Addendurn I, and Geotechnical Stability Exhibit are specified under Rule 6.4 and 6.5 and <br />Rule 1.6 2(1)(b) of the Rules and Regulations. If you have any questions on preparing the Exhibits or content of the information required, <br />or would like to schedule a pre-application meeting you may contact the Office at 303-866-3567. <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 perrnittee, should fully understand. These requirements are listed below. <br />Please read and initial 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 />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 mining operation in the event your permit is revoked and financial warranty is forfeited;