2012-02-07_REVISION - M1977443

• Permit No: M1977443
• IBM Index Class Name: REVISION
• Doc Date: 2/7/2012
• Doc Name: Submittal- No Money Received
• From: Hardrock Sand and Gravel
• To: DRMS
• Type & Sequence: AM1
• Email Name: SSS
• Media Type: D
• Archive: No

12. Prim ihnure Post min land use chec
ropland(CR)
11 Rangeland(RL)
111 Developed Water Resources(WR)
6.3.1
6.3.2
6.3.3
6.3.4
6.3.5
6.3.6
6.3.7
IV 4 6.3.8
6.3.9
6.3.10
6.3.12
1.6.2(1)(b)
6.5
wIA
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Maps & Exhibits:
ropland(CR)
Rangeland(RL)
Residential(RS)
Developed Water Resources (WR)
4
Pastureland(PL)
Forestry(FR)
Recreation(RC)
Pastureland(PL)
Forestry(FR)
Recreation(RC)
Submit two (2) complete, unbound copies of the following application exhibits:
EXHIBIT A - Legal Description and Location Map
EXHIBIT B - Site Description
EXHIBIT C - Mining Plan
EXHIBIT D - Reclamation Plan
EXHIBIT E - Maps, to include the location of any recorded easements
EXHIBIT F - List of Other Permits and Licenses Required
EXHIBIT G - Source of Legal Right -to -Enter
EXHIBIT H - Municipalities Within a Two -mile Radius
EXHIBIT I - Proof of Filing with County Clerk
EXHIBIT J - Proof of Mailing Notices of Permit Application
EXHIBIT L - Permanent Man-Made Structures
ADDENDUM 1 - Notice Requirements (sample enclosed)
Geotechnical Stability Exhibit (as required)
General Agriculture(GA)
Wildlife Habitat(WL)
Industrial/Commercial(IC)
Solid Waste Disposal(WD)
General Agriculture(GA)
Wildlife Habitat(WL)
Industrial/Commercial(IC)
Mining (MN)
14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this application
form. You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list
any acidic or toxic - forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will
result in or presently has acid mine drainage:
NoN a
15. Descriation of Amendment or Conversion:
If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s):
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