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-3- 11. Primary future (Post-mining) land use (check one): CC=Zand(CA) Pastnreland(PL) _ General Agriculture(GA) ~_ Ran9eland(RL) _ Forestrx (FR) _ Wildlife Habitat (WL) Resrdential(RS) Recreatron(RC) Industrial/Commercial(IC) _ Developed Water Resources(WR) _ Solid Waste Dispoeal(WD) 12. Primary present land use (check one): Cropland(CR) _ Pastureland(PL) _ General AgricultureiGA) ~ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) Residential(RS) _ Recreatron(RC) _ Industrial/Cov®ercial(IC) _ Developed Water Resources(WR) 13. Method of Miniaa: _ Quarry (QR) _ Solution (SO) 13.1 Other: Briefly explain mining method (e.g. Placer, truck/shovel). Minine will occur by dozers, end loaders. haul trucks. 14. On Site Processing: _ Solution (SO) _ Chemical (CH) _ Thermal (TH) _ Heap Leach (HL) _ Vat Leach (VL) List nay designated chemicals or acid-producing materials to be used or stored within permit area: None Description of Amendment: Lf you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s). Ma s and exhibits: Five 5 complete, unbound application packages must be submitted. One complete application package consists of a signed application form and the set of maps and exhibits referenced below as Hxhibits A-S and the Geotechnical Stability 8xhibit. Hach exhibit within the application must be presented as a separate section. Begin each exhibit on a new page. Pages should be numbered consecutively for ease of reference. if separate documents are used as appendices, please reference these by name in the exhibit. With each of the five (5) signed application forms, you must submit a corresponding set of the maps and exhibits as described in the following references to Rule 6.4 and 6.5: fiffiiIBIT A - Legal Description HffiiIBIT B - Index Map Hffi~IBIT C - Pre-Mining and Mining Plan Map(s) of Affected Lands HffiiIBIT D - Mining Plan fiffiiIBIT H - Reclamation Plan fiSEiIBIT F - Reclamation Plan Map ffi3IBIT G - Water information fiffiiIBZT H - Wildlife Information H~IIBIT I - Soils Information SSHIBIT J - Vegetation Information H~iIBIT R - Climate information 88HIBIT L - Reclamation Costs ~IBIT M - Other Permits and Licenses SSHIBIT N - Source of Legal Right-To-Hater [See C.R.S. 34-32-112 (2)(d)] 8ffiiIBIT O'- Owners of Recrord of Affected Land (Surface Area) and Owners of Substance to be Mined [See C.R.S. 34-32-112(2)(b) ~ (c)] HffiiiBIT P - Municipalities Within Two Miles HffiiIBIT Q - Proof of Mailing of Notices to County Commissioners and Soil Conservation District HffiiIBIT R - Proof of Filing with County Clerk and Recorder HffiiiBIT S - (am re~+ 'red sections) RIILH 6.5 - Geotechnical Stability 8xhibit The instructions for preparing exhibits A-S and Geotechnical Stability Exhibit are specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations. If you have any questions on preparing the exhibits or content of the information required, or would like to schedule a pre-application meeting you may contact the Office at 303-866-3567.