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additional acres. In no case shallfe permit fee exceed two <br /> thousand dollars (S? ,000) . A fraction of an acre shall be con- <br /> sidered a full acre for computing the fee. ( In the event of <br /> permit denial , seventy-five percent (75%) of the permit fee shall <br /> be refunded. If the refund will be two hundred dollars or less , <br /> no refund shall be made. <br /> ( 15) PRESENT LAND USE. OF AREA <br /> Specify rangeland , agricultural , wildlife habitat , residential , <br /> or other use. <br /> (16) SURROUNDING, LAND USES <br /> Indicate the general catterns of land use in the locality. <br /> (17) PROPOSED FUTURF LAND USE <br /> Indicate final use of the area after reclamation. <br /> ( 18) UNPERMITTED MINING OPERATIONS <br /> List any unpermitted operations which are (or were) subject to <br /> the following acts : <br /> 1973 Colorado Open Minina Land Reclamation Act - open <br /> mining operations , e.g. , sand & gravel , quarries , <br /> limestone for construction ourposes , strip coal <br /> (refer to RULE 2) . <br /> 1976 Colorado Mined Land Reclamation Act - all mining <br /> operations currently or previously conducted by <br /> the operator. <br /> (19) THE LANDS HEREIN DO NOT AFFECT ANY OF THE LANDS DESCRIBED IN <br /> SECTION 1 . 56(g) . <br /> Specify affirmation of this statement. <br /> (20) MAPS & EXHIBITS <br /> See Section i- 12. ) <br /> (21 ) NOTICE PROCEDURES <br /> Notice procedures must be followed according to Section 2.2. <br /> (22) ADDITIONAL INFORMATION <br /> This space can be referenced for further explanation of any ` <br /> of the items on this form. <br /> (23) SIGNATURE OF THE APPLICANT <br /> The individual signino the application must he legally auth- <br /> orized to bind the operator to the application. <br /> 112(4) (a) 2. 12 Maps and Exhibits <br /> All information required in this section shall be submitted with <br /> each of the application forms . PII maps except the index mao must <br /> conform to the following criteria : <br /> Show name of applicant : <br /> 112 (4) (a) Must be prepared and siqned by a registered land surveyor, <br /> professional enqineer, or other qualified person: <br /> Give date prepared : <br /> 112 (4) (b) Identify and outline the area which corresponds with the <br /> application : <br /> 112 (4) (d) Re made to a scale not large than 1 " = 100' and not smaller <br /> than I " = 660' , which "shall be noted on each map: and <br /> Must have a title or legend indicatinq the items delineated <br /> on that particular nap. <br /> - 14 - <br />