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08/21/2009 12:27 9702475104 DMG DURANGO OFFICE <br />w <br />-4- <br />12. PrJltrary fatare {Post- injag) land .me <br />!shack otte): <br />Cropiand(CR) P astureland(PL) <br />_-__ Rangeland(RL) ` Forestry(FR) <br />_.. Residential(RS) Rec=tion(RQ <br />Developed Water ResoUrcf s(fYR) <br />13. Prirtraty preaettt ljU d use (check one : <br />_ Cropland(CR) Pastureland(PL) <br />Rangeland(RL) Forestry(Fk) <br />Residential(RS) Recreation(RC) <br />Developed Water Resources (WR) <br />PAGE 07/12 <br />0eueral Agriculture(GA) <br />_ Wildlife Habitat(WL) <br />Industrivl/Comm emial(IC) <br />Solid Waste Disposa.l(W,D) <br />General Agricultum(GA) <br />Wildli* Habitaq WL.) <br />1ndustriaUGbmwcrc1al(Iq <br />?- Miming (MiV) <br />14. Iffbis operation will use designated chern icals, or will result, or presently has acid mine drainage - you g jW use titb appticatiott <br />form. You rrmst Submit either a 110d or 11.2d application form for Designated Mining Operations. Ts either case, you must list <br />any acidic or toxic-fornsing tnnterials. exposed. or disturbed as a result of the mining operation, and whether ft operation wi#.l <br />insult in or presently has acid mine drainage: <br />.11 1^ .11 . I <br />15. )lpsct3ptf oAttrert?l?errt or Canr+? ion: <br />Tf you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s), <br />-MM & E bits: <br />Subn* two (2) complete, unbotmd copies of the following application exhibits: <br />6.11 EXHIBIT A - Legal .Description and Location Map <br />63.2 EXHIBITS - Site "Description <br />6.3.3 EXHIBIT C - Mining Plan <br />6.3.4 EXRIBIT D - Reolarnation Plan <br />63.5 l:.XHMIT E - M.Vs, to include the location of array recorded eawroents <br />6-3.6 EXRIBrT 1~ - Lint of Other Permits and Licenses .Required <br />6.3.7 EXI;tI'.I3IT G - Source of Legal Right-to-Entet <br />6.3.8 EXHIBIT H - Municipalities Within, a Two-mile Radius <br />6.3.9 .1 <XHIBYT I - Proof of Filing with County Clerk <br />6.3.10 EX.!`UBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXHIBIT L - Permanent Man-Made Structures <br />1.6.2(1 )(b) ADD UM I - Notice Regt4rements (sample enclosed) <br />6.5 C goteclrni l Stability Exhibit (as rcquimd)