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• - 3 - • <br />10. LOCATION INFORMATION: The center of the area where the majority of mining will occur: <br />COUNTY: Pi akin <br />PRINCIPAL MERIDL?1N (check one): XX 6th (Colorado) 10th (New Mexico) IIte <br />SECTION (write number): S 2$_ <br />TOWNSHIP (write number and check direction); T ~_ North ~ South <br />RANGE (write number and check direction): R ~_ ~ East XX West <br />QUARTER SECTION (check one): NE ~ NW SE SW <br />QUARTER/QDARTER SECTION (check one): ' _ NE NW SE ~_ SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the <br />approximate elevation) North of Avalanche Creek. ;-mile east of Hwy 133 on <br />12 milc~e cnn+h of ('a rhnnAala via Hwy 1"('?. <br />F'n raa4- na~~alni manf Rnarl "il O <br />, <br />6,800-ft contour passes through mine bench. <br />11. Primary 'future (Post-miaixta)" land use (check one): <br />Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />Rangeland(RL) Forestry(FR) ~ wildlife Habitat(WL) <br />Residential(RS) Recreation(RC) Industrial/COmmercial(IC) <br />Developed Water Resources(WR) Solid Waste Disposal(WD) <br />12. Primary 'present' laced use (check one): <br />Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />Rangeland (RL) Forestry (FR) Wildlife Habitat (WL) <br />Residential(RS) Recreation(RC) Industrial/Commertial(IC) <br />_ Developed Water Resources (WR) XX Mining (MN) <br />13. If this operation will use designated chemicals, or will result, or presently has acid mine <br />drainage - you cannot use this application form. You must submit a either a 110d or 112d <br />application form for Designated Mining Operations. In either case, you must list any acidic <br />or toxic-forming materials, exposed or disturbed as a result of the mining operation, and <br />whether the operation will result in or presently has acid mine drainage: <br />NOT APPLICABLE <br />14. Description of Conversion: If you are converting an existing operation, provide a brief <br />narrative describing the proposed change(s). ~ ~ - <br />i <br />15. Mans a Exhibits: Submit TWO (2) complete, unbound conies of the following application <br />exhibits: <br />6.3.1 EXHIBIT A - Legal Description and Location Map <br />6.3.2 EXHIBIT B - Site Description <br />6.3.3 EXHIBIT C - Mining Plan <br />6.3.4 EXHIBIT D - Reclamation Plan <br />6.3.5 EXHIBIT E - Maps, to include the location of any recorded easements <br />6.3.6 EXHIBIT F - List of Other Permits and Licenses Required <br />6.3.7 EXHIBIT G'- Source of Legal Right-to-Enter, to include holders of any recorded <br /> easements <br />6.3.8 EXHIBIT H - Municipalities Within a Two-mile Radius <br />6.3.9 EXHIBIT I - Proof of Filing with Covnty Clerk <br />6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.1.2 (1)(b) ADDENDUM 1 - Notice Requirements (sample enclosed) <br />6.4.19 EXHIBIT S - (as required) <br />6.5 Geotechaical Stability Exhibit (as required) <br />