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-3- <br />_ il. Primary fu a (Post-m+n+*+g) land use (checJc sae) <br />f-z~oplaad(CR) _ Pasturelaad(PL) X General Agriculture(GA) Parachute,S.ite <br />~C' Han laad(RL) Forest (FR) - wildlife Habitat(wL) <br />Piceance Site - ~ - ~' <br />_ Reerdeatial(RS) Recreatioa(RC) Industrial/Cammercial(IC) <br />_ Developed water Resources(WR) _ Solid waste Dieposal(wD) <br />12. Primary re land use (check one): <br />Croplaad(CR) _ Pasturelaad(PL) _ General Agriculture(GA) <br />Piceance Site ~ Raagelaad(RL) Foreetzy(FR) wildlife Habitat(WL) <br />_ Resideatial(RS) _ Recreatioa(RC) X industrial/Commercial(IC)Parachute Site <br />_ Developed water Reeaurces(WR) <br />13. Method of Miaiaa: _ Quarry (QR) g Solution (SO) <br />13.1 Other: Briefly explain mixing method (e.g. Placer, truck/shovel). <br />14. Oa Site Proceeaina: g, Solution (SO) _ Chemical (CH) _ Thermal (TH) <br />_ Heap Leach (HL) _ Vat Leach (VL) <br />List nay designated chemicals or acid-producing materials to be used or stored rithia <br />permit area: None <br />Deacri ti of Amendmeat• <br />if you are amen iag or converting as existing operation, provide a brief narrative <br />describing the proposed change(s). <br />s an xhibi <br />Five 5 comp ete, unbound application packages must be submitted. Oae complete <br />application package ccnsists of a signed application form sad the net of maps and exhibits <br />referenced belor as 8xhibits A-S and the Geotechaical Stability Exhibit. Sack exhibit <br />rithin the applicatiaa must be presented as a separate section. Hegia each exhibit on a <br />aer page. Pages should be numbered consecutively for ease of reference. If separate <br />documents aze used as appendices, please reference these by name is the exhibit. <br />With each of the five (5) signed applicaticn forma, you moat submit a correapanding set <br />of the maps sad exhibits as described in the folloring references to Rnle 6.4 sad 6.5: <br />8~iI8TT A -Legal Descriptiaa <br />SETT H - Index I3ap <br />8~TT C - Pre-Mining and Mining Plaa Map(s) of Affected Lands <br />BBHIBIT D - Mining Plaa <br />BgiI.BTT 8 - Reclamation Plan <br />SSHIBTT F - Reclamation Plan Map <br />8ffiiIBTT G - Water Information <br />HBFIIBIT H - Wildlife Information <br />SSHIBIT I - Soils Information <br />8ffiiIBIT J - Vegetation Information <br />HSHSBTT R - Climate Information <br />BBHIBIT L - Reclamatica COSta <br />$%F~IT M - Other Permits sad Licenses <br />8ffiiIBTT N - Source of Legal Right-TO-Hater [See C.R.S. 34-32-112(2)(d)j <br />88HIBIT O - Ornery of Record of Affected Land (Surface Area) sad Ornery of Substance <br />to be Mined [See C.R.S. 34-32-112(2)(b) ~ (c)] <br />&ffi3IBTT P -Municipalities Within Tro Miles <br />88HIBTT Q - Proof of Mailing of Notices to County Commissioners and Soil <br />Coaservatiaa District <br />8ffiiIBTT R - Proof of Filing rith County Clerk and Recorder <br />HffitIBTT S - (nay required sections) <br />RIILH 6.5 - GeotechaiCal Stability 8xhibit <br />The instructions for preparing Hxhibits A-S and Geotechaical Stability Hxhibit are <br />specified under Rule 6.4 and 6.5 of the Mineral Rules and Regulations. if you have any <br />questiaas on prepaziag the Hxhibits or content of the informatics required, or rould like <br />to schedule apre-application meeting you may contact the Office at 303-.866-3567. <br />