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i s:Ic ~rit ' /n(.I~DVJ SNr.~~~.(Fl EJL~. <br />' ~~7 c,if ~1I - <br />E. Ma <br />~ eus+' ~ boundaries of permit <br />Z~° 2 owners within 200' - affected surface & mined substance <br />3. surface features to be used in operation, existing roads, <br />stockpiles, channels, ponds <br />,i4. direction of mining <br />/5. permanent man-made structures within 200' of affected land <br />~6. label existing disturbance <br />Reclamation Plan Map <br />1. gradient of reclaimed slopes (post mining topography) <br />2. non-vegetated areas <br />3. ponds <br />,4. ave. thickness of overburden & topsoil replaced <br />F. List of other permits/Licenses <br />discharge <br />air quality emission <br />radioactive source <br />404 <br />wetlands <br />dam construction <br />well permits <br />highway access <br />Forest Service Plan of Operation <br />BLM <br />County zoning <br />City zoning <br />,/Storm Water <br />~~~ Source of legal right to enter <br />'(. H./Municipalities within 2~ miles <br />L~//~f. Proof of filing w/ County Clerk & Recorder <br />1. receipt or affidavit - date applic. placed w/ clerk 6 recorder <br />,~ J. Proof of Mailing Notices of Permit Application <br />1. Board of County Commissioners <br />2. Board of Supervisors of SCD <br />a. submit proof of applic at time of submittal to Division <br />NEWSPAPER PUBLICATION <br />WITHIN 10 DAYS OF FILING W/ DIVISION (when considered complete) <br />COMMENT PERIOD - 10 days from date of publication <br />uG=ia., cc~,r <br />~/ ~ ~t po <br />~. Do ~' <br />/Ct~N' u~r <br />