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-3- 11. Primacy future (Post-mining) land uae (check - one): C r~aad(CR) _ Pastureland(PL) General Agriculture(GA) Ranyeland(RL) _ Forestzx (FR) _ _ Wildlife Habitat (WL) Residential (RS) Recreation(RC) industrial/Commercial (IC) _ Developed water Resources (WR) _ Solid Waste Disposal (WD) 12. Primary present land use (check one) Cropland(CR) _ Pastureland(PL) General Agri culture(GA) Rangeland(RL) Forestxy(FR) _ Wildlife Habitat(WL) Residential(RS) _ Recreation(RC) _ _ Industrial/Commercial(IC) _ Developed Water Resources(WR) 13. Method of Minina: 13.1 Other: Briefly 14. On Site Processing: mining method (e.g. Placer, truck/shovel). ..~.. IA/,r at n-O /'e ~- -~F Con ur 1. _ Solution (SO) Chemical (CH) _ Thermal (TH) Heap Learn (HL) _ Vat Leach (VL) List any designated chemicals or acid-producing materials to be used or stored within permit area: - 1Von/F_ Description of Amendment: If you are amending or converting as existing operation, provide a brief narrative describing the proposed change(s). s and Exhibits• ive 5 complete, 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 Exhibit. Each exhibit within the application 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 documents are used as appendices, please reference these by name is 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: EXHIBIT A - Legal Description fiX}iIBIT B - Index Map EXHIBIT C - Pre-Mining and Mining Plan Map(s) of Affected Lands ~t/F-EDEi7 EXHIBIT D - Mining~Plan &%HLBIT H - Reclamation Plan &XFiIBIT F - Reclamation Plan Map EXHIBIT G - Water Information &XFiIHIT H - Wildlife Information fiXHIBIT Z - Soils Information ~IZBIT J - Vegetation Information Ha7iIBIT K - Climate Information EXfiIBIT L - Reclamation Costs EXHIBIT M - Other Permits and Licenses EXHIBIT N - Source of Legal Right-TO-Hater [See C.R.S. 34-32-112(2)(d)] SffiiIBIT O~'- Ownezs of Record of Affected Land (Surface Area) and Owners of Substance to be Mined [See C.R.S. 34-32-112 (2)(b) 4 (c)] EXHIBIT P - Municipalities Within Two Miles H21iIBIT Q - Proof of Mailing of Notices to County Commissioners and Soil Conservation District EXkiIB IT R - Proof of Filing with County Clerk and Recorder EXHIBIT S - (any required sections) RIILH 6.5 - Geotechnical Stability Hxhibit The instructions for preparing Hxhibits A-S and Geotechnical Stability Hxhibit are specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations. If you have any questions on preparing the Hxhibits or content of the information required, or would like to schedule a pre-application meeting you may contact the Office at 303-866-3567. Quarry (QR) _ Solution (SO)