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' Y <br />APK Z v 1~W <br />1 <br />~~" ~~ <br />ai" li „~ a 1ltl~ <br />Mln-t(~ Savo <br />RECU+MArION o~~sb-~ <br />MINED LAN ~G}~!~ (112) PERMIT <br />RECLAMATION DI 'yIPP~CATION FORM <br /> r <br /> <br /> <br /> <br />s fore contains two major parts: (1) General Operation Information and (2) Exhibits <br />, When you submit your application, be sure to include four sinned copies of the <br />eral Operation Information, four copies of Exhibits A-P, and a cneck for the <br />Ticttion fee described under (4) below. To expedite processing, please provide the <br />"ormation in the format anE order described in this fore. JJ((~~%% <br />-C L C C C ~ O~Y- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />OCLC C C L t C .. <br />Applicant/Dperator Name: r:n?esite Ro^k Cesoa-,~ <br />Ope~ztion Na-e (Di :, r,.`ne ., site naael: - - - - --- - <br />Ap;lication type: Reoular (112) Permit Ooeration. <br />Application Fee for Permitted Atreage* i3o2 Dermitted <br />acres. <br />(£50.00 + S15.OD/acre, lst. 50 acres; <br />£10.00/acre, 2nd..50 acres; £5.00/acre, 3rd. 50 acres; <br />51.00/acre, any additional acreage; maximum fee. of ,,.;,. <br />Nate permitted acreage and application fee and <br />attach a check for this amount when you file. c~nnn application fee, <br />Substance(s) to be mined (e. g., gold/silver/gravel): s,.,,, _.,,:~,.,,.~ <br />Owners(s) of Substance to be Mined - <br />(check applicable box(s)): M9 Private ^ State-- O-Federal _- ^ _Indian <br />6wner(s) of Record of Affected Land <br />(check applicable box(s)): ~ Private ^ State ^ Federal O Indian <br />~. Type of Mining Operation <br />(check applicable box(s)): ~ Surface O Underground ^ In-situ <br />Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: We]d <br />PPINCIPLE M.;RIDIAN check one): ?r 6th (Colorado) D 10th {New Mexico) ^ Ute <br />TOWNSHIP (write number and Check direction): T 11 Esl Horth D South <br />RANGE (write number and check direction): R 5i p East ZI West <br />SELTIDN (write number): S 26 <br />QUARTER SECTION (check one): ^-A~}[$ NW ^ Sr ^ SW <br />OUAP.TER/pUARTER SECTION (check one): O NE D N6' D SE Z}; SW <br />GENERAL DESCRIPTION: <br />(miles and direction 1/2 mile e ns: of Czrr . Co]e:aao <br />from nearest town and <br />approximate elevation) „ <br />r;,, ,., <br />r;,-.-, <br />l cv -inn <br />fi <br />-[r, n <br />~ <br />~ <br />If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be Counted as one acre for fee calculation. <br />d <br />