1995-10-27_REVISION - M1977002HR

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-3- il. Primary future iPost-miaing) land use (check one) : _ Cra�and(CR) _ Pastureland(PL) General Agriculture(CA) Rangeland(RL) _ Forescry(FR) _ Wildlife Habitat(WL) _ Residential(RS) Recreation(RC) Industrial/Commercial(IC) _ Developed Water Resource6(WR) _ Solid Waste Disposal (WD) 12. Primary present land use (check one) : Cropland(CR) Pastureland(PL) _ General Agriculture(GA) Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) _ Residential(RS) ReareatlOII(RC) _ Industrial/Cgmmercial(IC) _ Developed Water Resources(WIZ) 13. Method of Mining: _L Quarry (QR) _ Solution (SO) 13.1 Other: Briefly explain miring method (e.g. Placer, truck/shovel) . 14. On Site Processing: _ Solution (SO) Chemical (CH) Thermal (TH) _ Heap Leach (EL) _ Vatt Leach (VL) x her GfL'`aFl�n :�...� sGt4�za'fi✓�c`` n` y�l•Ml List any designated chemicals or acid-producing materials to be used or stared within permit area: Descrit.tion of Amendment: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s) . s and Exhibits: Five 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 in 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 EXHIBIT B - Index Map . EXHIBIT C - Pre-Mining and Mining Plan Map(s) of Affected Lands RTHTAIT D - Mining Plan OBIT E - Reclamation Plan EXHIBIT F - Reclamation Plan Map R=141T G - Water Information EXHIBIT H - Wildlife Information EXHIBIT I - Soils Information EXHIBIT ,7 - Vegetation Information EXHIBIT K - Climate Information EXHIBIT L - Reclamation Costs EXH]BIT M - Other Permits and Licenses OBIT N - Source of Legal Right-To-Enter [See C.R.S. 34-32-112(2) (d)] EXHIBIT 0 ' Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined [See C.R.S. 34-32-112(2) (b) & (c)] . EXHIBIT P - Municipalities within Two Miles EXHIBIT Q - Proof of Mailing of Notices to County Commissioners and Soil Conservation District EXHIBIT R - Proof of Filing with County Clerk and Recorder EXHIBIT S - (any required sections) RULE 6.5 - Geotechnical Stability Exhibit The instructions for preparing Exhibits A-S and Geotechnical Stability Exhibit are specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations. If you have any questions on preparing the Exhibits or content of the information required, or would like to schedule a pre-application meeting you may contact the Office at 303-866-3567.