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~- ° <br />-3- <br />10. Location information: The center of the area where the majority of mining wi11 peen lies is <br />COUNT? L l Arf GNAa Er [o~.v TY ~ - <br />PRINCIPALMERIDIAN (check one): 6th (Colorado) _ 10th (New Mesco) _ Ute <br />SECTION (write nu®ber>: s I ~ <br />TOWNSEIIP (write number and check direction): T _ NorthSouth <br />RANGE (write number and check direcion): R _ East _~,[ West <br />QUARTT:R SECTION (check one>: _ NE _ NvV / SE _ SW <br />QUAItTER/QUARTER SECTION (check one): _ NE _ NW / SE _ SW , <br />GENERAL DESCRIPTION (miles and direction from nearest town and approximate el~vation): ~( M t 1 e' S <br />T Nis ZYJ J0 II d <.~iti/U (-S imLO. / ELC~. - <br />11. Primary future (Poet-m:nt,w) land use fcheck one}; <br />Cropland(CR) Pashueland(PL) _ General Agticuluue(GA) <br />_ Rangeland(RL} ~ Forestry(FR) _ Wildlife Habifat(VJL) <br />_ Residentiat(RS) _ Recreation(RC) _ bulastriaVCommerciai(IC) <br />Developed Water Resomces(WR) _ Solid Waste Disposal(9(D) <br />12. Primary ores~t land use (check one): <br />Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />Rangeland(R1.) _ Forestry(FR) ~ Wildlife Habitat(WL) <br />_ Residential(RS) _ RecceapiontRC) _ InrhrslriaVCommeroial(IC) <br />_ Developed Water Resoarces(WR) ~[ Mming(IvII~ <br />13. If this operation wdl use designated chemicals, or wr71 result, ctt presently bas acid aline drainage - yon cammt use this <br />application form You must submit a either a I IOd or 1124 apputication form for Designated Mining Operations. Jn either . <br />case, you must list any acidic or toxio-fprming materials, exposed or disturbed as a result of the mining operation, and <br />whether operation will retiuit in or presently has acid mine drainage: <br />._ (1,(_ /~ - .ti0 R</Y!/C Di? i oY / < FoIF~'r /.<+ G itApT~(X /dLS. <br />Ne Fl4 f ND a c /O wir i,c...~. ~ aK r~ r y .~ c,n . <br />14. 1)escrintioa of Consrer~on: If you are converting an existing operation, provide a brief narrative dettn'bing the proposed <br />change(s): <br />M <br />I5. Mans & Ezhr-hits: Submit two (2) complete. ~boand conies of the following a~lication exhibits: <br />63.1 E7IfIIBFT A -Legal Descripaion and Location Map <br />X6.32 EX1i18IT B -Site Description <br />6.33 EXEIIBIT C -Mining Plan <br />6:3.4 EXI~BIT D - Reclamation Plan <br />6.35 EJCEIIBIT E -Map <br />6.3.6 17IEIIBFf F -Iasi of Other Permits and Lioensey Regirired <br />6.3.7 EXHIBIT G - Sowce a4'Legal Right-to-E~er <br />6.3.8 F-XHIBIT H -Municipalities Within a Tbvo-mile Radius <br />6.3.9 EXHIBIT I -Proof of Filing with County Clerk <br />6.3.10 EXEIIBIT' J - Proof of Mailing Notices of Permit Application. <br />6.4.19 EXHIBIT S - (as required} 11~ <br />6.5 Geotechnical Stability Exhibit (as required) <br />