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-3- <br />10. Inratlnn infnrmatlnn~ The center of the area where the majority of tttitting will occur lies in: <br />COUNTY: Toi/Pl <br />PRINCIPAL MERIDIAN (check one): -~ 6th (Colorado) _ 10th (New Mexico) _ Ute <br />SECTION (write number): <br />TOWNSHIP (write number and check direction): <br />RANGE (write number and check direction): <br />QUARTER SECTION (check one): <br />QUARTER/QUARTER SECTION (check one): <br />S Z-- <br />T i z North °~ South <br />R 71 East / West <br />_NE _NW - SE ~ SW <br />_NE _NW _ SE ~ SW <br />GENERAL DESCRII'TION (miles and direction from nearest town and approximate elevation): <br />F~vr m.Y~s /I!E o~ Gake Gta*4e C nlorado ~ 8~ 6 £~o' 2 /e/ar on <br />11. P^mar~ fi~ .re ~~wt-minim Innd nvr (fherk noel; <br />- Cropland(CR) ^ Pastureland(PL) _ General Agriculture(GA) <br />Rangeland(RL) _ Forestry(FTt) ~/Wildlife Habitat(WL) <br />Residential(RS) _ Recreation(RC) - IndustriaUCommercial(IC) <br />-Developed Water Resources(WR) - Sohd Waste Disposal(WD) <br />12. Primarnnrevent land nse lchrrk nne~; <br />_ Cropland(CR) ~ Pastureland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) - Forestry(FR) _ Wildlife Habitat(WL) <br />_ Residential(RS) _ Recreation(RC) _ IndustriaUCommercial(IC) <br />_ Developed Water Resources(WR) ~ Mining(MIJ) <br />13. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this <br />application form. You must submit a either a 110d or 112d application form for Designated Mining Operations. In either <br />case, you must list airy acidic 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 />14. 11ecr^~ntinn of [`nnvera:nn; if you aze converting an existing operation, provide a brief narrative describing the proposed <br />15. Mane ReT:hihits; Submit two (Zl en~lete nnhm~nd conies of the following appliption 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 -Map <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 <br />6.3.8 EXHIBIT H -Municipalities Within aTwo-mile Radius <br />6.3.9 EXHIBIT I -Proof of Filing with County Clerk <br />6.3.10 EXHIBIT J -Proof of Mailing Notices of Permit Appliption <br />6.3.12 EXHIBIT L -Permanent Man-Made Structures <br />6.4.19 EXHIBIT S - (as required) <br />6.5 Geotechnical Stability Exhibit (as required) <br />