2005-11-21_REVISION - M1992045 (9)

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-3- 10. PRINCIPAL MERIDIAN (check one): _ 6th (Colotado) 10th (New Mexico) _ Ute SECTION (write number): S ~- TOWNSI-IIP (write number and check direction): T ~~~ North ~ South RANGE (write number and check direction): R d'U East ~ West QUARTER SECTION (check one): _,~. NE - NW _ SE _ SW i nraNnn infnrmafinn~ The rnntrr Of the area where the majori of mining will occur lies in: COUNTY: ~ A / p QUARTER/QUARTER SECTION (check one): _ NE _ NW ~~SE _ SW GENER.~L DFSCRII~'ITON (miles and direction from nearest town and approximate elevation): `~ /~ ~~ 11. Pri Aty' fi~h~n: fPnAt-minim land n9r (rhrrk noel: Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) Rangeland(RL) - Forestry(FR) _ Wildlife Habitat(WL) - Residential(RS) ~- Recreation(RC) _ IndustriaVCommercial(IC) Developed Water Resouroes(WR) _ Solid Waste Disposal(WD) 12. Prima nn+arnt land nsv (phrrk nnPl: _ Cropland(CR) - Pas[urehtnd(PL) -General Agriculture(GA) Rangeland(RL) Fores[ry(FR) _ Wildlife Habitat(WL) _ Residemial(RS) ~ Recreation(RC) _ IndustriaVCommeroial(IC) Developed Water Resources(WR) - Mining(MN) 13. If this operation will use designated chemicals, or will result, or presemly has acid mine drainage -you rannmt use this application form. You must submit a either a 110d or l ltd appliption form for Designated Mining Operations. In either case, you must list arty acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the opemtion will result in or presently has acid mine drainage: 14. 1)excriTtinn nt ('nnvrninn; If you are converting an existing operation, provide a brief narrative describing the proposed changes}: 1$. Mnrx R Fthihita_ S~mjt two (2) rn IPtn nnhnnnd rnn:w of the following application exhibits: 6.3.1 EXIIIBff A -Legal Description and Location Map 6.3.2 EXFIIBIT B -Site Description 6.3.3 EXFIIBTf C -Mining Plan 6.3.4 EXI-IIBIT D -Reclamation Plan 6.3.5 EXIIIBIT E -Map 6.3.6 EXIIIBTf F -Lis[ of Other Permits and Licenses Required 6.3.7 EXFIIBIT G - Sotrtce of Legal Right-to-Enter 6.3.8 EXIIIBTI' H -Municipalities Within a Two-mile Radius 6.3.9 EXI~IIBTT I -Proof of Filing with County Clerk 6.3.10 EXI-IIBff J -Proof of Mailing Notices of Permit Appliption 6.3.12 EXI-IIBIT L -Permanent Man-Made Stntctures 6.4.19 EXFIIBIT S - (as requited) 6.5 Geotechnical Stability Exhibit (as required)