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-3- 11 12 13 14 Primary future (Post-mining) land use (check one): CropTand(CR) _ Paetureland(PL) General Agriculture(GA) ~_ Rangeland (RL) Forestry (FR) !_ Wildlife Habitat (WL1 Residential(RS) _ Recreation(RC) industrial/Coamiercieil(IC) Developed Water Resources (WR) _ Solid Waste Disposal. (WD) Primary r~esen~t land use (check one) Cropland(CR) Pastureland(PL) General AgriculturetiGA) ~_ Rangeland(RL) _ _ Forestry(FR) ~_ Wildlife Habitat(WL) Residential(RS) RecreationlRC) _ Industrial/Cammerciz~l(IC) _ Developed Water Resourcea(WR) Method of Mining: _ Quarry (QR) _ Solution (SO) 13.1 Other: Briefly explain mining method (e.g. Placer, truck/shovel). OOen pit stria mining. On Site Processing: Solution (SO) Chemical (CH) __ Thermal (TH) _ Heap Leach (HL) _ Vat Leach (VL) List any designated chemicals or acid-producing materials to be used or stored within permit area:- None. Descrintion of Amendment: If you are amen ing or converting an existing operation, provide a brief narrative describing the proposed change(s). Ma and Hxhibi Five 5 comp ete, 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 exhibits A-S and the Geotechnical Stability 8xhibit. Hach exhibit within the application must be presented ae 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: BXHIBIT A - Legal Description SxHIBIT 8 - Index Map fiXHIBIT C - Pre-Mining and Mining Plan Map(s) of Affected Lands fiXHIBIT D - Mining Plan HXHIBIT 8 - Reclamation Plan EXHIBIT F - Reclamation Plan Map HXHIBIT G - Water Information HXHIBIT H - Wildlife Information fiXfiIBIT i - Soils Information HXHIHIT J - Vegetation Information EXHIBIT K - Climate Information HXHIBIT L - Reclamation Costs fiXHIBIT M - Other Permits and Licenses HXHIHIT N - Source of Legal Right-To-Hater [See C.R.S. 34-32-112(2)(3)] EXHIBIT O'- Owners of Record of Affected Land (Surface Area) and Owner; of Substance to be Mined [See C.R.S. 34-32-112(2)(b) ~ (c)] HXHIBIT P - Municipalities Within Two Miles fiXHIHIT Q - Proof of Mailing of Notices to County Commission~ars and Soil Conservation District fiXHIHiT R - Proof of Filing with County Clerk and Recorder fiXHiBIT S - (any required sections) RIILS 6.5 - Geotechnical Stability fixhibit The instructions for preparing Hxhibits A-S and Geotechnical Stabilit~• Hxhibit are specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations. If you have any questions on preparing the 8xhibite or content of the information required, or would like to schedule a pre-application meeting you may contact the Office at 303-865-3567.