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-3- <br />10. Location information: The center of the area where the majority of mining will occur lies in: <br />COUNTY: /C/It'r <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) _ 10th (New Mexico) Ute <br />SECTION (write number): S ~ <br />TOWNSHIP (write number and check direction): T f Z `North ~uth <br />RANGE (write number and check direction): R ~_ East West <br />QUARTER SECTION (check oae): _ NE /NW _ SE ~ SW <br />QUARTER/QUARTER SECTION (check one): r/1VE _ NW _ SE _ SW <br />GENERAL DESCRIPTION (miles and direction from nearest town and approximate elevation): <br />~in;/rs ~f Fx~•-~ ~-t!u G~rger G~ ~ a~~rr,~r 8 PJ~'' e%ya~ i o.~-~ <br />11. Primary future (Post-mining) land use (check one): <br />Croplatul(CR) _ Pashrreland(PL) General Agriculture(GA) <br />Rangeland(RL) _ Forestcy(FR) ~ildlife Habitat(WL) <br />'_ Residential(RS) _ Recreation(RC) _ IndustriaVCornmezcial(IC) <br />_ Developed Water Resources(WR) _ Solid Waste Disposal(WD) <br />12. Primary present land use (cheek onel: <br />Cmpland(CR) _ Pasturehutd(PL) General Agriculture(GA) <br />Rangeland(RL) _ Fores[ry{FR) ^_ Wildlife Habdtat(WL) <br />_ Residential(RS) _ Recreation(RC) Industrial/CommercialpC) <br />_ Developed Water Resources(WR) iiMirdng(MIV) <br />13. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -You cannot t~se this <br />appligtion form. You must snbmit a either a I lOd or 112d appliption form for Designated Mining Operations. In either <br />case, you must list atry acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and <br />whetheythe operation will result in or presently has acid mine drainage: <br />14. Description of Conversion: If you aze converting an existing operation, provide a brief narrative describing the proposed <br />15. Moos & Ealtihits: Submit two (2i complete, unbound copies of the following application 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 EXHIBTf E -Map <br />6.3.6 EXHBIT F -List of Other Permits and Licenses Required <br />6.3.7 EXHIBTT G -Source of Legal Right-to-Enter <br />6.3.8 EXHIBIT H -Municipalities Within aTwo-mile Radius <br />6.3.9 EXI-IIBTT I -Proof of Filing with County Clerk <br />6.3.10 EXHIBIT J - Pcoof of Mailing Notices of Permit Appliption <br />6.4.I9 EXHIBIT' S - (as required) <br />6.5 Geotechnical Stability Exhibit (as required) <br />