2014-06-10_GENERAL DOCUMENTS - M1977215

• Permit No: M1977215
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 6/10/2014
• Doc Name: Remailed document
• From: DRMS
• To: Ms. Janet Kieler Colo Dept of Public Health and Environment
• Email Name: RCO
• Media Type: D
• Archive: No

-6-
sns and Exhibits:
Five (5) 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 -T, the Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1.
Each exhibit within the application must 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 five (5) signed application forms, you must submit a corresponding set of the maps and exhibits as described in the following
references to Rules 6.4, 6.5, 8, and 1.6.2(1)(b):
EXHIBIT A - Legal Description
EXHIBIT B - Index Map
EXHIBIT C - Pre - Mining and Mining Plan Map(s) of Affected Lands
EXHIBIT D - Mining Plan
EXHIBIT E - Reclamation Plan
EXHIBIT F - Reclamation Plan Map
EXHIBIT G - Water Information / qvy AC'S
EXHIBIT H - Wildlife Information 1
EXHIBIT I -
EXHIBIT ] -
EXIIIBIT K -
EXHIBIT L -
-� EXHIBIT M -
EXHIBIT N -
EXHIBIT O -
EXHIBIT P -
�+ EXHIBIT Q -
EXHIBIT R -
EXHIBIT S -
EXHIBIT T -
RULE 6.5 -
�+ RULE 8 -
Soils Information
Vegetation Information
Climate Information
Reclamation Costs
Other Permits and Licenses
Source of Legal Right -To -Enter
Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined
Municipalities Within Two Miles
Proof of Mailing of Notices to County Commissioners and Conservation District
Proof of Filing with County Clerk and Recorder
Permanent Man -Made Structures
Designated Mining Operation Environmental Protection Plan
Geotechnical Stability Exhibit
Emergency Response Plan
ADDENDUM 1 - Notice Requirements (sample enclosed) (Rule 1.6.2(l)(b)
The instructions for preparing Exhibits A -T, the Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1, are specified
under Rule 6.4, 6.5, 8, and 1.6.2(1)(b) of the Mineral Rules and Regulations. If you have any questions on preparing the Exhibits or content of the
information required, or would like to schedule a pre - application meeting you may contact the Office at 303 -866 -3567.