REV10163

• Permit No: M1981014
• IBM Index Class Name: Revision
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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MAPS AND EXHIBITS
Five (5) complete 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. Each exhibit 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 bound 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 2:
EXHIBIT A - legal Description
EXHIBIT B - Index Map
EXHIBIT C - Pre-Mining and Mining Plan Map(s) of Affected lands
EXHIBIT D - Mining Plan
EXHIBIT E - Reclamation Plan
EXHIBIT F - Reclamation Plan Map
EXHIBIT G - Water Information
EXHIBIT H - Wildlife Information
EXHIBIT I - Soils Information
EXHIBIT J - Vegetation Information
EXHIBIT K - Climate Information
EXHIBIT L - Reclamation Costs
EXHIBIT M - (DELETED)
EXHIBIT N - Other Permits and Licenses
EXHIBIT 0 - Source of Legal Right-To-Enter [See C.R.S. 34-32-112(2><d>I
EXHIBIT P - Owners of Record of Affected Land (Surface Area) and Owners of
Substance to be Mined [See C.R.S. 34-32-112(2)<b> & (c>]
EXHIBIT Q - Municipalities Within Two M11es
EXHIBIT R - Proof of Mailing of Notices to County Commissioners and Soil
Conservation District
EXHIBIT 5 - Proof of Filing with County Clerk and Recorder
The Instructions for preparing Exhibits A-S are specified under Rule 2.1.2(1) through
(18> 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, please contact the Division at [phone].
(04/92)
2823E