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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />Completeness Notices Checklist <br />Operator: <br />Lincoln County <br />Mine Name: <br />Higgins Pit II <br />Permit Number: <br />v M- 2012 -013 rA nAp <br />Specialist: <br />j/AME <br />Completeness Date: 05/12/2014 <br />❑ ✓Operator Address: John W. Higgins <br />27451 CR 3H <br />Genoa, CO 80818 <br />❑ ✓County Planning Department <br />Specify County: <br />Lincoln <br />❑ I./County Commissioners <br />Specify County: <br />Lincoln <br />❑ ♦ ✓ Soil Conservation District <br />Specify SCD: <br />High Plains <br />❑ ♦ NUa� =cos- If Applicable: <br />Within 2 miles of Operation) <br />Specify: <br />no <br />❑ ♦ ✓Army Corps of Engineers <br />Circle One: <br />Colorado /Gunnison <br />Frisco <br />Durango <br />Denver <br />Southern Colorado <br />❑ ♦ &.-Division of Wildlife <br />Circle One: NW NE SW SE <br />❑ + 1-4i ban Bi- wi It Applicable: Within 100 yearfloodplain — Adams, Arapahoe, Boulder, Denver, Douglas <br />and Jefferson counties) EPS Circle One: Y 0 <br />❑ ♦ /Air Pollution (Health Department): <br />❑ ♦ ✓Historical Society: <br />❑ State Land Board: <br />❑ ♦ VWater Quality (Health Department): <br />❑ Water Resources: <br />❑ J� BLM (If Applicable) EPS Circle One: Y 0 <br />❑ JJ Forest Service (If Applicable) EPS Circle One: Y <br />♦ - Receive one paper copy of Application form, Legal Description and Location Map <br />fJ - Receive CD of entire application <br />