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~~ -3- 11. Primary future (Post-mining) load use (check one): _ CropZand(CR) _ Pastureland(PL) General Agricultvre(GA) ~ Raageland(RL) _ ForeatrX(FR) _ Wildlife Habitat(WL) Resldestial(RS) _ Recreation(RC) Induatr~al/Commercial(IC) _ Developed Water Resources(WR) _ Solid Waste Disposal(WD) 12- Primary present land use (check one}: Cropland(CR) _ Pastureland(PL) General Agriculture(GA) g Rangelaad(RL) _ Forestry(FR) _ wildlife Habitat(WL) _ Residential(RS) Recseation(RC) _ Industrial/Cca~ercial(IC) _ Developed Water Resource6(WR) 13. Method of Mining: _ _ Quarry (QR) _ Solution (SO) 13.1 Other: Briefly explain mining method (e.g. Placer, truck/shovel). RXCAVATTnN RV TI(12ER /T.nAT1RR 14. Gn Site Proce ssin4: Soluticn (SO) _ Chemical (CH) Thermal (TH) N/A _ Heap Leach (HL) _ Vat Leach (VL)/ - - List nay designated chemicals or acid-producing materials to be use/d or store 'thin ~~ permit area: - BITUMINOUS CEMENTS. HYDRATED LIME AND PETROLEUM PRODUCTS Description o£ Amendment: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s). s and Hxhibits: 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 Geotechnical Stability Exhibit. Each 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: SffiiIBIT A - Legal Description ESFIIBIT 8 - Index Map EXHIBIT C - Pre-Mining and Mining Plan Map(s) of Affected Lands fiSFCtBIT D - Mining Plan E~IIBIT fi - Reclamation Plan EXHIBIT F - Reclamation Plan Map EXIiIBIT G - Water Lnfozmation EXHIBIT H - Wildlife Isfo~ation ESFIIBTT I - Soils Information fiSHIBIT J - Vegetation Information EXHIBIT R - Climate Information EDIT L - Reclamation Costs EXHIBTT M - Other Permits gad Licenses ffiIBIT N - Source of Legal Right-To-Enter [See C.R.S. 34-32-112 (2)(d)1 EXHIBIT 0'- Owners of Recrord of Affected Land (Surface Area) gad Owners of Substance to be Mined [See C.R.S. 34-32-112(2)(b) fi (c)I ESHIBTT P - Municipalities Within Two Miles EXHIBIT Q - Proof of Mailing o£ Rotices to County Comaissioners gad Soil Conservation District RXHIBIT R - Proof of Filing with County Clerk gad Recorder EXHIBIT S - (arty rern,;red sections) RDLE 6.5 - Geotechnical Stability E~d~ibit The instructions £oz preparing Exhibits A-S and Geotechnical Stability Exhibit are specified wader Rule 6.4 gad 6.5 of the Mineral Rules and Regulations. If you have any questions on preparing the Exhibits or content of the informatics zequired, oz would like to schedule apre-application meeting you may contact the Office at 303-866-3567.