1996-09-27_PERMIT FILE - M1996076

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• III IIIIIIIIIIIIIIII • � "� 999 LIMITED IMPACT OPERATION (110(2)) • RECLAMATION PERMIT SEP27 �g APPLICATION FORM Iu The application for a Limited Impact Operation Reclamation PerPMgOtai&s-,k a major parts: (1 ) the application form; (2) Exhibits A-J; and, (3) the applicati. tf�eer7 v When you submit your application, be sure to include two (2) signed originals of the application form, two (2) copies of Exhibits A-J , and a check for the application fee described under (3) below. To expedite processing, please provide the information in the format and order described in this form. ____=====s===- ----------------- ____ GENERAL OPERATION INFORMATION A- Cru 0 7 9 Type or print clearly, in the space provided, all information described below. 1 . Applicant/operator name: Rudolph Fontanari 1 . 1 Type of organization (corporation, partnership, etc. ) : Sole proprietor 2 . Operation name (pit, mine or site name) : WESTERN SLOPE FLAGSTONE QUARRY NO. 2 2 .1 I .R.S. Tax ID No. or Social Security No. : Tax ID No. 84-0980471 3. Permitted acreage 9.55 permitted acres 3. 1 Application Fee $875.00 application fee • 4. Substance(s) to be mined (e.g. , gravel /gold/borrow) : Rip/Rap - Gravel 5. Name of owner of surface of affected land: Rudy & Ethel C. Fontanari 6. Name of owner of subsurface rights of affected land: "same" 7 . Type of mining operation: x Surface _ Underground _ In-situ 8. Location information. The center of the area where the majority of mining will occur lies in: COUNTY: Mesa PRINCIPAL MERIDIAN (check one) : x 6th (Colorado) loth (New Mexico) _ Ute TOWNSHIP (write number and check direction) : T To North X South RANGE (write number and check direction) : R 98 _ East X West SECTION (write number) : S 35 QUARTER SECTION (check one) : _ NE NW SE x SW QUARTER/QUARTER SECTION (check one) : _ NE _ NW _ SE x SW GENERAL DESCRIPTION: (miles af,6 uirection 4 miles Northeast of Palisade, CO from nearest town and approximate elevation) 5220 ASL • I