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• RE*1R (I12) PERMIT APPLICATION <br /> FORM <br /> -2- <br /> I1. General Location and Elevation 12 . 5 miles east on Carbondale turnoff on <br /> (miles and direction from Highway 82 . Elev 6300 to 6400 <br /> nearest town and approximate <br /> site elevation) <br /> 12. county Garfield <br /> 13a. Total Surface Acreage to be In- <br /> cluded in Permit. (see Rule 1L.1(2)) 81 acres <br /> 13b. Total Acreage of Affected Lands 81 acres <br /> (see Rule 2.11(14)) <br /> 14. Application Fee (see RULE 2 to 25 + 50X 7 . 50 + 31x$5 . 00 = 8555 . 00 <br /> determine amount, based on <br /> permitted area) <br /> 15. Present Land Use (i .e., agri- Agriculture and mining . See exhibits one , <br /> cultural, industrial, etc.) two , and three . <br /> 16. Surrounding Land Uses Agriculture , Sanitary land fill , residential <br /> 17. Proposed Future Land Use (final Agriculture <br /> use after reclamation) <br /> 18. List Mining operations Currently None other than 0 . 8 over-run on maximum <br /> In violation of the Act. (see disturbed area as per origina oar <br /> 34-32-120) approved plan. <br /> 19. The Lands Herein Do Not Affect Yes , the land herein does not effect an of <br /> any of the Lands Described in the lands described in section O <br /> Section 115(4) (f) of the Mined the Act . <br /> Land Reclamation Act. (specify <br /> affirmation) <br /> MAPS AND EXHIBITS <br /> With each of the five (5) copies of the application form, the applicant must submit a corresperd- <br /> ing set of the maps and exhibits outlined in RULE 2, as follows: <br /> 1. EXHIBIT A - Legal Description <br /> 2. EXHIBIT B - Index Map UNCHANGED FROM ORIGINAL <br /> 3. EXHIBIT C - Pre-mining and Minin Plan Map(s) of Affected Lands <br /> 4. EXHIBIT D - Mining Plan <br /> 5. EXHIBIT E - Reclamation ?tan REVISED FOR AS BUILT .AND AfMNDMENT <br /> 6. EXHIBIT F - Reclamation PZan Map <br /> 7. EXHIBIT G - Water Information <br /> 8. EXHIBIT H - Wildlife Information <br /> 9. EXHIBIT I - Soils Information UNCHANGED FROM ORIGINAL <br /> 10. EXHIBIT J - Vegetation Information <br /> 11. EXHIBIT K - Climate <br /> I2. EXHIBIT L - Reclamation Costs <br /> 13. EXHIBIT M - Compliance with Local Zoning ) See 34-32-ll5(4)(e)& l09(6) &(8; <br /> 14. EXHIBIT N - Other Permits or Licenses ) See 34-32-115(4) &(4) (c) <br /> 15. EXHIBIT O - Source of Legal Right to Enter ) See 34-32-112(2) (d) <br /> 16. EXHIBIT P - Owners of Record of Surface and Subsurface Rights See 34-32-112(2) (b)&(c) <br />