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t. -•. • I RE~ (Z12) PEkMIT APPLICATION FORM -2- 1• General Location and elevation I 3 miles Southwest of Superior, Colorado (miles and direction from i nearest town and approx mate site elevation) 5750' elevation 12. County Boulder 3a. Total Surface Acreage to be In- 215 eluded in Permit. (see Rule L1(2)) 40 acres presently permitted. 77-393 Total Acreage of Affected Lands 3b. (see Rule 2.11(14)) 14. Application Fee (see RULE 2 to determine amount, based on permitted area) $1,575.00 for 175 acres. 15. Present Land Use (i.e., agri- cultural, industrial, etc.) Rangeland and open pit mining. 16. Surrounding Land Uses A ricultural/Industrial 17. Proposed Future Land Use (final use after reclamation) Ran eland 18. List Mining Operations Currently None In violation of the Rct. (see 34-32-120) - 19. The Lands Herein Do Not Affect Affirmation any of the Lands Described in Section 115(4)(f) of the Mined Land Reclamation Act. (specify affirmation) MAPS AlJD EXJfZBITS With each of the five (5) copies of the application form, the applicant must su:~mit a correspond- ing set of the maps and exhibits outlined in RULE 2, as follows: 1. EXHIBIT R - Legal Description 2. EXfJIBIT B - Index Map 3. EXHIBIT C - Pre-mining and Mining Plan J4ap(s) of Affected Lands 4. EXHIBIT D - Mining Plan 5. c'XHIBZT E - Reclamation Plan 6. EXHIBIT F - Reclamation Plan Map 7. EXHIBIT C - Water Information 8. EXHIBIT H - Wildlife Information 9. EX1iIBIT I - Soils Information I0. EXHIBIT J - Vegetation Information I1. EXHIBIT K - Climate Z2. EXHIBIT L - Reclamation Costs EXHIBIT M - Compliance with Local Zoning ) EXHIBIT N - Other Permits or Licenses ) 15. EXfJIBIT O - Source of Legal Right to Enter ) 16. EXHIBIT P - Owners of Record of Surface and Subsurface Rights) See 34-32-1.15(4)(~~)&109(6)&(4 See 34-32-115(4)&(4) (c) See 34-32-Z12(2)(d) See 34-32-112(2)(b)&(c)