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-3- 11. Primary future (Post-min - ing) land use (check one): ropSaad(CR) _ C _ Pastureland(PL) General Agriculture(GA) _ Ran9eland(RL) Forestry (FR) _ Wildlife Habitat (WL) Residential(RS) _ Recreation(RC) ,g Industrial/Commercial(IC) _ Developed Water Resaurces(WR) _ Solid Waste Disposal lWD) 12. Primary aresent land use (check one): CroplaIId(CR) _ Pasturelaad(PL) _ General Agri culture(GA) _ RangelandlRL) _ ForestrYlFR) Wildlife Habitat(WL) _ ResideIItial(RS) Recreation(RC) x industrial/COmmercial(IC) _ Developed Water Resources(WR) 13. Method of Miniaa: _ Quarry (QR) _ Solution (SO) 13.1 Other: Briefly explain mining method (e.g. Placer, truck/shovel). oven vit 14. On Site Processino: _ Solution (SO) _ Chemical (CH) _ Thermal (TH) _ Heap Leach (HL) _ Vat Leach (VL) List any designated chemicals or acid-producing materials to be used or stored within permit area:- Description of Amendment: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s). Ma s and Exhibits: Five 5 complete, unbound application packages must be submitted. One complete application package consists of a signed application form and the set of maps and exhibits referenced below as Exhibits A-S and the Geotechaical Stability Hxhibit. Hach exhibit within the application must be presented as a separate section. Begin each exhibit on a new page. Pages should be numbered consecutively for ease o£ reference. if separate documents are used as appendices, please reference these by name in the exhibit. With each of the five (5) signed application forms, you must submit a corresponding set of the maps and exhibits as described in the following references to Rule 6.4 and 6.5: HSHIBIT A - Legal Description ~ZBIT B - Index Map HXHZBIT C - Pre-Mining and Mining Plan Map(s) of Affected Lands EXHIBIT D - Mining Plan ESFii2BZT H - Reclamation Plaa HSfIIBIT F - Reclamation Plan Map ffiiIBIT G - Water Information E%ED:BIT H - Wildlife information EXHIBIT I - Soils Informatian BEFiZBIT J - Vegetation Information EBfIIBIT R - Climate Information SStiiiBTT L - Reclamation Costs ESHIIBIT M - Other Permits and Licenses ESHZBIT N - Source of Legal Right-TO-ffiter [See C.R.S. 34-32-112(2)(d)] B%FIISIT O~'- Owners of Record of Affected Laad (Surface Area) and Owners of Substance to be Mined [See C.R.S. 34-32-112(2)(b) ~ (c)] H~itBTT P - Municipalities Within Two Miles EII~BTT Q - Proo£ of Mailing of Notices to County Commissioners and Soil Conservation District fiXHIBIT R - Proof of Filing with County Clerk and Recorder SSHIBIT S - (nay required sections) RIILH 6.5 - Geotechnical Stability Hxhibit The instructions for preparing Hxhibits A-S and Geotechnical Stability Hxhibit are specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations. If you have any questions on preparing the Exhibits or content of the information required, or would like to schedule a pre-application meeting you may contact the Office at 303-866-3567.