REV104121

• Permit No: M1977446
• IBM Index Class Name: Revision
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Type & Sequence: HR3
• Media Type: D
• Archive: No

-3-
MAPS AND EXHIBITS

Witii each of the five (5) copies of the application form, the applicant must suomit a
corresponding set of the snaps and exhioits outlined in rule 2, as follows:
1. EXHIBIT A - Leyal Description
2. EXHIBIT B - Index Map
3. EXHIriIT C - Pre-Mining and f4ininy Plan Map(s) of Hffected Lands
4, EXHIBIT U - Mining Plan
5. EXHIBIT E - Reclamation Plan
e. EXHIBIT F - Reclamation Plan o-lap
7. EXHIBIT G - Water Information
B. EXHIBIT H - Wildlife Information
9. EXHIBIT I - Soils Information
lU. EXHIBIT J - Veyetation Information
11. EXHIBIT iC - Climate
12. EXHIBIT L - Reclamation Costs
13. EXHIBIT M - Compliance with Local Zoning {See 34-32-115(4)(e} and 109(6)&(B)
14. EXHIBIT N - Uther Permits ur Licenses (See 34-32-115(4)&(4)(c)
15. EXHIBIT U - Source of Leyal Right-To-Enter (See 34-32-112(2)(d)
16. EXHIBIT P - Uwners of Record of Surface
and Subsurface Riynts (See 34-32-112(2)(b)iy(c)
NOTICE OF PROCEDURES
After the application is considered "filed" (pursuant to Rule 1.1(10) with the f4ined
Land Reclamation Division, notice procedures outlined in kule 2.2 must be followed.
(Format for such notices ~,vill be included in the letter you receive from the MLR staff
informing you of the Completeness ("filing") of your application.)
CULDkADO WATER LAWS
The pe rntittee is encouraged to contact the State Engineer, with regard to the
administration of water rights, and the Colorado Department of riealtn, with regard to
the discharge of pollutants into the waters df the State. Violation of ~ol~rado watar
laws could result in enforcement actions taken oy the State Engineer and/or the Colorado
Department of Health.