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<br /> <br />-3- <br />11. Primary future (Post-mining) land use {check one): <br />_ CroZaad(CR) _ Pasturelaad(PL) _ General Agriculture(GA) <br />x Ran~eland(RL) _ Foreatry(FR) _ Wildlife Habitat (WL) <br />Resrdential(RS) _ Recreation(RC) Industrial/Commercial(ZC) <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) Recreatron(RC) _ IndustriallCammercial(ZC) <br />_ Developed Water Resources(WR) <br />13. Method of Mining: _ Quarry (QR) _ Solution (SO) <br />13.1 Other: Hziefly explain +~ining method (e .g. Placer, truck/shovel). Open <br />Pit Sand and Gravel <br />14. On Site Processino: Solution (SO) Chemical (CH) Thermal (TH) <br /> _ Heap Leach (HI.) _ vat Leach (VL) <br />List nay designated chemicals or acid-producing materials to be used or stared within <br />permit area: <br />N/A <br />Descriotian of Amendment: <br />If you are amending or converting as existing operation, provide a brief narrative <br />describing the proposed cbange(s). <br />s and Exhibits: <br />Five 5 complete, unbound application packages must be submitted. One complete <br />application package consists of a signed application form and the set of maps gad exhibits <br />referenced below as Exhibits A-S and the Geotechnical Stability 8xhibit. Each exhibit <br />within the application must be presented as a separate section. Begin each exhibit on a <br />new page. Pages should be numbered consecutively for ease of reference. If separate <br />docents are used as appendices, please reference these by name in the exhibit. <br />With each of the five (5) signed application forms, you must submit a corresponding set <br />of the maps gad exhibits as described in the following references to Rule 6.4 and 6.5: <br />HIT A - Legal Description <br />ESE~IT B - index Map <br />fiSFIIBTT C - Pre-Mining gad Mixing Plaa Map(s) of Affected Lands <br />EII~IT D - wining Plan <br />HEFIIBTT E - Reclamation Plaa <br />E%fIIBIT F - Reclamation PlaII Map <br />fiEBIBTT G - Water information <br />fiIIiIBIT H - Wildlife information <br />ESFiIBTT I - Soils Information <br />Effi~ZBIT J - vegetation Information <br />OBIT K - Climate Information <br />HSfiIBIT L - Reclamation Costs <br />ESHZSIT M - Other Permits and Licenses <br />OBIT N - Source of Legal Right-To-Hater [See C_R.S. 34-32-112(2)(d)] <br />SBBZBIT O -- Owners of Record of Affected Land (Surface Area) and Owners of Substance <br /> to be Mined [See C.R.S. 34-32-112(2)(b) ~ (c)] . <br />h'ffiiIBTT P - Municipalities Within Two Miles <br />EffiiIBTT Q - Proof of Mailing of Notices to County Commissioners and Soil <br /> Conservation District <br />fi%FiIBIT R - Proof of Filing with County Clerk gad Recorder <br />EBHIBZT S - (nay required sections) <br />RDLfi 6.5 - Geotechnical Stability Hxhibit <br />The instructions for preparing Exhibits A-S and Geotechnical Stability Exhibit are <br />specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations_ If you have any <br />questions on preparing the Exhibits or content of the information required, or would like <br />to schedule apre-application meeting you may contact the Office at 303-866-3567. <br />