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_3_ <br />10. <br />11. <br />12. <br />I oration infnrmatinn~ The CPnfPf of the area where the majority of mining will occur lies in: <br />COUNTY: <br />PRINCIPAL MERIDIAN (check one): <br />SECTION (write number): <br />TOWNSHIP (write number and check direction). <br />RANGE (write number and check direction): <br />QUARTER SECTION (check one): <br />QUARTER/QUART'ER SECTION (check one): <br />GENERAL DESCRIPTION (miles and direction <br />_ 6th (Colorado) 10th (New Mexico) Ute <br />S <br />T North South <br />R East West <br />_NE _NW -SE _SW <br />_NE _NW -SE -SW <br />from nearest town and approximate elevation): <br />Primary fi.mrr (P.wt-mining land nqr (fh rrk nnel~ <br />- Cropland(CR) _ Pas[urehmd(PL) _ General Agriculture(GA) <br />Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />Residential(TtS) _ Recreation(RC) _ IndustriaVCommercial(IC) <br />Developed Water Resources(WR) _ Solid Waste Disposal(WD) <br />nntcPM land ncr (fhrrk nnrl; <br />primarv <br />~ <br />_ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />Residemial(RS) _ Recreation(RC) _ Indus[riaUCommereial(IC) <br />Developed Water Resources(WR) _ Mining(MN) <br />13. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this <br />application form. You must submit a either a I lOd or 112d application form for Designated Mining Operations. Itt either <br />case, you must list any acidic ortoxic-forming materials, exposed or disturbed as a result of the mining operation, and <br />whether the operation will result in or presently has acid mine drainage: <br />14. r-Par^~ t:nn of ['nnvP.~.inn; If you are converting an existing opemtion, provide a brief narrative describing the proposed <br />change(s): <br />15. Many .G F.:hihitae Subml[ two (~ r^mTnle n, nnh~nmd rnniPa of the following application exhibits: <br />6.3.1 EXI-IIDIT A -Legal Description and Location Map <br />6.3.2 E7CHIBTT B -Site Descrip5on <br />6.3.3 EXI-IIBIT C -Mining Plan <br />6.3.4 EXEEBTf D -Reclamation Plan <br />6.3.5 EXIIIBIT E -Map <br />6.3.6 EXIIIBTI' F -List of Other Permits and Licenses Required <br />6.3.7 EXIIIBIT G -Source of Legal Right-to•Enter <br />6.3.8 E3CHIBIT H -Municipalities Within a Two-mile Radius <br />6.3.9 EXF~IIBIT I -Proof of Filing with County Cletk <br />6.3.10 EXI-IIBIT J -Proof of Mailing Notices of Permit Application <br />6.3.12 EXIIIBIT L -Permanent Man-Made Structures <br />6.4.19 EXIIIBIT S - (as required) <br />6.5 Geotechnical Stability Exhibit (as required) <br />