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<br />-?- <br />L <br />REGULAR (IZ?) PERMIT APPLICATION <br />FORM <br />1. General Location and Elevation ,1 - 5 MILES WEST OF WINDSOR, WELD COUNTY ,COLORADO ON <br />! (miles and direction from <br />d <br />T HIGHWAY N0. 392' SECTION 19, TOWNSHIP 6 NORTH, <br /> nearest town an <br />approximate <br /> site elevation) RANGE 67 WEST OF THE 6th P.hi.; USGS ELEV. 4780 <br />I2. County WELD COUNTY <br />)a Total Surface A::reage eo be In- (Includes 57.6 Acres in River Bottom Land and <br /> cludea in Permit. (see Rule Z1(?) 246.2 A. (9.9 Acres in Existing Permit.) <br />,b Total Acreage of Affected Lands 178.7 ACRES <br /> (see Rule ?.lI(14)) <br />I4. Application Fee (see RULL 2 to 1579.00 <br /> determine amount, based on <br /> permitted area) <br />:5. Present Land Use (i.e., agri- (AGRICULTURAL) 37.5 ± ACRES CULTIVATED; 141.2 -ACRES <br /> cultural, industrial, etc.T IN PASTURE: 57.6 ± ACRES P.IVER BOTT011; 9.9 A. GRAVEL PIT <br /> AGRICULTURAL TO NORTH, EAST AND WEST; RANGELAND TO SOUTH <br />;5. Surrounding Land Uses <br />'. Proposed Future Land use (Final OPEN SPACE, CONSERVATI(1N, RECREATION <br /> use after reclamation) <br />:8. List Mining Operations Currently NONE <br /> In Violation of Ghe Act. (see <br /> 34-3?-1201 <br />?. The Lands Herein Do Mot Atfece TO THE BEST OF MY KNOWLEDGE, NONE OF THE LANDS SO <br /> any of the Lands Described in SPECIFIED ARE INCLUDED fiEREIN THIS APPLICATION. <br /> Section 115(4)(f) of the Mined <br /> L.snd Reclamation ,jct. (specify <br /> affirmation) <br /> <br />MAPS AND EXHIBITS <br />'h each of the five f5) copies of the application form, the applicant must submit a correspond- <br />; .set of the maps and exhibits outlined in RULE 2, as follows: <br />?. E.17iZ87T A - Legal Description <br />:'. EXHIBIT B - Index Map <br />.. EXHIBIT C - Pre-mining and Mininq Plan Map(s) of Affected Lands <br />~J. EXHIBIT D - Mi niny Plan <br />E.YXIBZT E - Reclamation Plan <br />EXX_*B71' F - RecIa;ra ti on Plan Map <br />'. E~7l IBIT C - Water Information <br />EX.YIBIT X - Wi1d_'ife Information <br />EXHIBIT I - Soils Information <br />EXHIBIT J - Vegetation Information <br />EXHIBIT x - Climate <br />EJGfZBZT L - Reclamation Costs <br />EXHIBIT M - Comp?lance with Local Zoning ) See 34-32-115(4)(e)6Z09 (6)6(8. <br />E.~cHIBIT N - Other Permits or Licenses ) See 34-3?-115(4)6(4)(c) <br />EXHIBIT O - Source of Legal Right to Enter ) See 34-32-11?(2)(d) <br />EXHIBIT P - Owners of Record of Surface and Subsurface Rights) See 34-3?-21?(2)(b)L(c) <br />-3- <br />