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-3- 11. Primary future (Post-mining) land use (check one): C~and(CR) Pastureland(PL) _ General Agriculture(GA) x Ran~eland(RL) _ Forestrx (FR) _ Wildlife Habitat (WL) Residential (RS) _ Recreation (RC) Industrial/Commercial (IC) _ Developed Water Resources (WR) _ Solid Waste Disposal (WD) 12. Primary present land use (check one): Cropland(CR) Pastureland(PL) _ General Agriculture(GA) x Rangeland(RL) _ Forestry (FR) Wildlife Habitat (WL) Residential (RS) _ Recreation (RC) _ Industrial/Commercial (IC) _ Developed Water Resources(WR) 13. Method of Mining: _ Quarry (QR) ~ Solution (SO) 13.1 Other: Briefly explain mining method (e.g. Placer, truck/shovel). 14. On Site Processing: _ Solution (SO) x 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). Maps 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 Hxhibits A-S and the Geotechnical 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 of 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: EXHIBIT A - Legal Description EXHIBIT B - Index Map fiXHIBIT C - Pre-Mining and Mining Plan Map(s) of Affected Lands EXHIBIT D - Mining Plan HXHIBIT B - Reclamation Plan EXHIBIT F - Reclamation Plan Map HXHIBIT G - Water Information EXHIBIT H - Wildlife Information HXHIBIT I - Soils Information HXHIBIT J - Vegetation Information HXHIBIT K - Climate Information HXHIBIT L - Reclamation Costs EXHIBIT M - Other Permits and Licenses HXHIBIT N - Source of Legal Right-TO-Hater ISee C.R.S. 34-32-112(2)(d)] EXHIBIT O - Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined [See C.R.S. 34-32-112(2)(b) ~ (c)] EXHIBIT P - Municipalities Within Two Miles EXHIBIT Q - Proof of Mailing of Notices to County Commissioners and Soil Conservation District EXHIBIT R - Proof of Filing with County Clerk and Recorder EXHIBIT S - (any 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.