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• <br />-3- <br />11. Primary future (Post-mining) land use (check one): <br />C~aad(CR) _ Pastureland(PL) General Agriculture(GA) <br />_ Rangelaad(RL) ForeetzY(FR) ~_ Wildlife Habitat(WL) <br />Resrdential(RS) _ Recreatian(RC) Industrial/Cammercial(IC) <br />_ Developed Water Resources(WR) = Solid Waste Disposal (WD} <br />12. Primary ~res~ent land use (check one): <br />Cropland.(CR) _ Paeturelaad(PL) X General Agriculture(GA) <br />Raageland(RL) Forestry(FR) _- Wildlife Habitat(WL) <br />Resideatial(RS) _ Recreation(RC) _ IadustrialjCoa®ercial(IC) <br />_ Developed Water Resources(WR) <br />13. Method of Minina: _ Quarry (QR) _ Solution (SO) <br />13.1 Other: Briefly explain mining method (e .g. Placer, truck/shovel). <br />sand and Kravel pit <br />14. On Site Processing: Solution (SO) Chemical (CK) Thermal (TH) <br />_ Heap Leach (HL) _ Vat Leach (VL) <br />List any designated chemicals or acid-producing materials to be used or stored within <br />permit area: none <br />Description of Amendment: <br />If you are amending or converting an existing operation, provide a brief narrative <br />describing the proposed change(s). <br />Ma s and Sxhibits- <br />Five 5 complete, unbound application packages must be submitted. One complete <br />application package consists of a signed application form and the set of maps and exhibits <br />referenced below as Hxhibits A-S and the Geotechnical Stability 8xhibit. Hach exhibit <br />within the applicatiaa must be presented as a sepazate section. Begin each exhibit on a <br />new page. Pages should be numbered consecutively for ease of reference. if separate <br />do~~m~++ts aze used as appendices, please reference these by name in the exhibit. <br />With each of the five (5) signed application forms, you must submit a corresponding set <br />of the maps and exhibits as described in the following references to Rule 6.4 and 6.5: <br />fiSIiIBIT A - Legal Description <br />ffiIBIT B - Index Map <br />ffiIBIT C - Pre-Mining and Mining Plan Map(s) of Affected Lands <br />fiSHIBIT D - Mining Plaa <br />fiEI3IBIT fi - Reclamation Plaa <br />ESFQBIT F - Reclamation Plan Map <br />HSFiIBIT G - Water Information <br />&SFIIBIT H - Wildlife Information <br />fiIfIIBIT I - Soils Information <br />8~D$IT J - Vegetation Information <br />ESfIIIBIT R - Climate Informatics <br />Sffi~BIT L - Reclamation Costs <br />fiffiBIT M - Other Permits sad Licenses <br />88iIBIT N - Source of Legal Right-To-Hater [See C.R.S. 34-32-112(2)(d)] <br />fiffiDBIT O'- Oomers of Record of Affected Laad (Surface Area) and Owners of Substance <br /> to be Mined [See C.R.S. 34-32-112(2)(b) ~ (c)] . <br />fiffiiIBIT P - Municipalities Within Two Miles <br />fi%fD'BIT Q - Proof of Mailing of Notices to County Commissioners and Soil <br /> Conservation District <br />fiBf~BIT R - Proof of Filing with County Clerk and Recorder <br />SSHIBTT S - (arty required sections) <br />RULfi 6.5 - Geotechnical Stability fixhibit <br />The instructions for preparing Hxhibits A-S and Geotechnical Stability Hxhibit are <br />specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations. If you have any <br />questions on preparing the Hxhibits or content of the information required, or xould like <br />to schedule a pre-application meeting you may contact the Office at 303-866-3567. <br />