2005-11-07_REVISION - M1983141 - Laserfiche WebLink

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-3- 10. iMatinn Gntnnnatinn~ The ranter of the area where the majority of mining will occur lies in: COUNTY: Rr~~I.P~~_(L-. PRINCIPAL MERIDIAN (check one): _~ 6th (Colorado) _ 10th (New Mexico) Ute SECTION (write number): S ~ Z- TOWNSHIP (write number and check direction): T ~ ~ North South RANGE (write number and check direction): R ~ East ~_ West QUARTER SECTION (check one): _ NE _ NW ~ SE ,. SW QUARTER/QUARTER SECTION (check one): ._. NE x tJix~ ;SE _ SW GENERAL DESCRIPTION (miles and direction from nearest town and approximate elevation): ~ ~~'~ Q:~7¢._ "Ci:9 ~~tl. r+- f!D P t-iCLM'-'Lt~vJ PAcC(~~~ 11. Primarv fi.h.re (Prwt-mininnl land use (~, ertc noel: _ Cropland(CR) --r- Pastureland(PL) -General Agriculture(GA) Rangeland(RL) ~Forestry(FR) _ Wildlife Flabitat(WL) _ Residential(RS) ~ Recreation(RC) , IndustriaVCommercial(IC) _ Developed Water Resources(WR) _ Solid Waste Disposal(WD) 12. Prima nrrsent IanA ~vr ({~herk noel; _ Crophmd(CR) Pas[ureland(PL) -General Agriculture(GA) _ Rangeland(RL) ~Forestry(FR) _ Wildlife Habitat(WL) Residential(RS) ~ Recreation(RC) .._ Industrial/Commercial(IC) _ Developed Water Resotuces(WR) ,_ Mining(MN) 13. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application form. You must submit a either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: 14. IleacriTtinn of ('nnverainn; L`you aze converting an existing operation, provide a brief narrative describing the proposed change(s): PI~RaG' Ra_"''~-Q.~ `ta (~tti~-r- .~iQOU~ai~-a,.Z (~,ht:fG.~~~" 15. Mars .~ F:hihifa; Submit two (?~ rn~lrtr nnhru.nd rnniea of the following appliption exhibits: 6.3.1 E}ss-IIBIT A -Legal Description and Logtion Map 6.3.2 E7GIIBTf B -Site Description 6.3.3 EXFIIBTT C -Mining Plan 6.3.4 E7GIIBTT D -Reclamation Plan 6.3.5 EXFIIBIT E -Map 6.3.6 EX7IIBTT F -List of Other Permits and Licenses Required 6.3.7 EXFlTBTT G -Source of Legal Right-[o-Enter 6.3.8 EXIABIT H -Municipalities Within a Two-mile Radius 6.3.9 EXIIIBTI' I -Proof of Filing with County Clerk 6.3.10 EXH3lBIT J -Proof of Mailing Noflces of Permit Application 6.3.12 EJ{HIBIT L -Permanent Man-Made Structures 6.4.19 EXIIIBIT S - (as required) 6.5 Geotechnical Stability Exhibit (as required)