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III IIIIIIIIIIIII III <br />COMPLETENESS CHECKLIST <br />NOTICES OF INTENT <br />Removal of 2S0 Tons or Less of Coal <br />. ~a v <br />e <br />1 <br />I~~~~,~~ <br /> ITEM CHECK <br />1. DMG NOI application form (2.02.2(1)). ~. <br />2. Name, address, and telephone number of person seeking to explore <br /> (2.02.2(2)(a)). (/ <br />3. Name, address, and telephone number of the representative who <br /> will be present at and responsible for conducting the exploration / <br />/ <br /> activities (2.02.2(2)(b)). <br />4. Map (1:24000 or larger) and narrative description of the exploration / <br /> area (2.02.2(2)(c)). <br />5. A statement of the period of intended exploration (2.02.2(2)(d)). <br />6. If the surface is owned by a person other than the person who ~"tlO '~'~ n'"c "O~~`* <br />b.wnttN{KL a.r sF ~-~97 <br /> intends to explore, a description of the basis upon which the person <br /> who will explore claims the right to enter such area for the purpose <br /> of conducting exploration and reclamation (2.02.2(2)(e)). <br />7. A narrative description of the practices proposed to be followed to 7°oi leca:~.d 2d~ecac( <br />idc(r Crrek. Ab -~~r-Sr t <br /> protect the envirorunent from adverse impacts as a result of the ~eu..~+~.r `.u«twvslafw°+ <br /> exploration activities (2.02.2(2)(f)). sf+`~"'" <br />8. A narrative description of the methods to be used to conduct coal <br /> exploration and reclamation, including, but not limited to, the types <br /> and uses of equipment, drilling, surface blasting, road or other ~^ <br />~ <br /> access road construction (4.21.4(3)), excavated earth or other debris ~ S <br /> disposal activities, and other information set forth in Rule <br /> 1.04(127). The description shall set forth the rttaximum number of <br /> drill holes the person conducting the exploration intends to drill <br /> within each quarter-quarter section (2.02.2(2)(g)). <br />9. A statement, with appropriate references from the relevant State or <br /> Federal agencies or published sources, which determine that the <br /> exploration and reclamation described will not jeopardize the <br /> continued existence of an endangered or threatened species listed <br /> pursuant to Section 4 of the Endangered Species Act of 1973 / <br /> (U.S.C. 1533) or the Nongame, Endangered or Threatened Species <br /> Conservation Act (Section 33-8-101 et seg• C.R.S.) or result in the <br /> destruction or adverse modification of critical habitat of those <br /> species (2.02.2(2)(h)). <br />~`~'~`/ <br />M ~mrljrclNO1CHECK. LSr <br />