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• - 3 - <br />10. LOGTZON INFORMATION: The center of the area where the majority of mining will occur: <br />COUNTY: Teller <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico). Ute <br />SECTION (write number): S 13 <br />TOWNSHIP (write number and check direction): T 15 North X South <br />RANGE (write number and check direction): R 70 East A West <br />QUARTER SECTION (check one): R NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): NE X NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the <br />approximate elevation) Approximately 400 feet north of the city limits of <br />the city of Cripple Creek, Colorado. Site elevation is about 9700 see . <br />11. Primary ^future (Poet-minim)" land use (check one): <br />Cropland (CR) Pastureland(PL) General Agriculture (GA) <br />X 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" 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) Mining (hIN) <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 />NONE <br />14. Deacription of Conversion: If you are converting an existing operation, provide a brief <br />narrative describing the proposed change(s). <br />15. Man e & Bxhibite: Submit TWO (2) comolete, unbound conies of the following application <br />exh ibits: <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 County Clerk <br />6.3 .10 EXHIBIT J - Proof o£ 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 Geotechnica l Stability Exhibit (as required) <br />