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0 <br />-3- <br />11. Primary future (Post- mining) land use (check <br />Crop`iand(CR) Pastureland(PL) <br />one): <br />`— <br />_ General Agriculture(GA) <br />Rangeland(RL) <br />Forestryr(FR) <br />Wildlife Habitat(WL) <br />Residential(RS) <br />Recreation(RC) <br />Industrial /Commercial(IC) <br />_ Developed Water <br />Resources(WR) <br />Solid Waste Disposal(WD) <br />12. Primary present land use <br />(check one): <br />_ Cropland(CR) <br />__ Pastureland(PL) <br />General Agriculture(GA) <br />Rangeland(RL) <br />Forestry(FR) <br />__ Wildlife Habitat(WL) <br />Residential(RS) <br />Recreation(RC) <br />Industrial /Commercial(IC) <br />_._ Developed Water <br />Resources(WR) <br />13. Method of Mining: _„ Quarry (QR) <br />_ Solution (SO) <br />13.1 Other: Briefly explain mining method (e.g. Placer, truck /shovel). <br />Material to be mined using dozer and /or end loader. <br />14. On Site Proce sins: _ Solution (SO) Chemical (CH) Thermal (TH) <br />Heap Leach (HL) _ vat Leach (VL) <br />List any designated chemicals or acid - producing materials to be used or stored within <br />permit area: <br />Description of Am ndment.. <br />If you are amending or converting an existing operation, provide a brief narrative <br />describing the proposed change(s). <br />Ma s and <br />Five S complete, unbound application packages must be submitted. One complete <br />application package consists of a signed application form and the set of maps and exhibits <br />referenced below as Exhibits A -S and the Geotechnical Stability Exhibit. Each exhibit <br />within the application must be presented as a separate section. Begin each exhibit on a <br />new page. Pages should be numbered consecutively for ease of reference. If separate <br />documents are used as appendices, please reference these by name in the exhibit. <br />With each of the five (5) signed application forms, you must submit a corresponding set <br />of the maps and exhibits as described in the following references to Rule 6.4 and 6.5: <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 <br />EXHIBIT J - Vegetation Information <br />EXHIBIT K - Climate Information <br />EXHIBIT L - Reclamation Costs <br />EXHIBIT M - Other Permits and Licenses <br />EXHIBIT N - Source of Legal Right -To -Enter [See C.R.S. 34- 32- 112(2)(d)l <br />EXHIBIT O - Owners of Record of Affected Land (Surface Area) and Owners of Substance <br />to be Mined (See C.R.S. 34- 32- 112(2)(b) & (c)l <br />EXHIBIT P - Municipalities Within Two Miles <br />EXHIBIT Q - Proof of Mailing of Notices to County Commissioners and Soil <br />Conservation District <br />EXHIBIT R - Proof of Filing with County Clerk and Recorder <br />EXHIBIT S - (any required sections) <br />RULE 6.5 - Geotechnical Stability Exhibit <br />The instructions for preparing Exhibits A -S and Geotechnical Stability Exhibit are <br />specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations. If you have any <br />questions on preparing the Exhibits or content of the information required, or would like <br />to schedule a pre - application meeting you may contact the Office at 303 - 866 -3567. <br />