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~~ ~ REGULAR (112) <br />• • <br />-?- <br />PERMIT APPLICATION <br />FORX <br />11. General Location and Elevation I One mile east of Wild Horse. Colorado. and U.S. _ <br /> (miles and direction from Highway 40 <br /> nearest ttwn and approximate <br />site elevation) <br />4,400 feet <br />1?. County Cheyenne <br /> <br />3a. Total Surface Acreage to be In- <br />eluded in Permit. (see Ruie l l (?)) <br />/' y~ c~ <br />0 <br />3b. Total Acreage of Affected Lands <br />(see Rule 2.11(19)) <br />14. Application Fee (see RULE 2 to Exem t <br /> determine amount, based on <br />permitted area) <br />I5. Present Land Use (i.e., agri- <br />cultural, industrial, etc.) <br />Agricultural <br />26. Surrounding Land Uses Agricultural <br />17. Proposed Future Land Use (final <br />use after reclamation) <br />Agricultural <br />3B. List Mining Operations Currently See attached cease and desist orders <br /> In Violation of the Act. (see <br />34-32-120) <br />Two pits <br />19. The Lands Herein Do Not Affect No lands are affected <br /> any of the Lands Described in <br /> Section 115(4)(f) of the Mined <br />Land Reclamation Act. (specify <br /> affirmation) <br />MAPS AND EXHIBITS <br />With each of the five (5) copies of the application form, the applicant must submit a correspond- <br />ing set of the maps and exhibits outlined in RULE 2, as follows: <br />1. EXHIBIT A - Legal Description <br />2. EXHIBIT B - Index Map <br />3. EXHIBIT C - Pte-mining and Mining Plan Map(s) of Affected Lands <br />4. EXHIBIT D - Mining Plan <br />5. EXHIBIT E - Reclamation PIan <br />6. EXHIBIT F - Reclamation Plan Map <br />7. EXHIBIT G - Water Information <br />8. EXHIBIT X - Wildlife Information <br />9. EXHIBIT I - Soils Information <br />I0. EXHIBIT J - Vegetation Information <br />11. EXHIBIT K - Climate <br />22. EXHIBIT L - Reclamation Costs <br />13. EXHIBIT M - Compliance with Local Zoning ) <br />14. EXHIBIT N - Other Permits or Licenses ) <br />15. EXHIBIT O - Source of Legal Right to Enter ) <br />16. EXHIBIT P - Owners of Record of Surface and Subsurface Rights) <br />See 34-32-115(4)(e)5109(6)&(8) <br />See 39-32-1I5(4)s(4)(c) <br />See 34-32-112(2)(d) <br />See 34-32-112(2)(b)S(c) <br />