PERMFILE49364

• Permit No: M1993030
• IBM Index Class Name: Permit File
• Doc Date: 4/16/1993
• Doc Name: TWO ACRE LIMITED IMPACT OPERATION 110 1 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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TWO-ACRE LIMITED IMPACT OPERATION C110(1))
RECLAMATION PERMIT
APPLICATION FORM
CHECK ONE:
X New Application (Rule 3.3>
Conversion Application (Rule 1.10)
`~ELt!VEi~i
APR 16 1993
Uivswn u1 i~uneras a Seviv9Y
Amendment Application (Rule 1.8)
The application for a Two-Acre Limited Impact Operation Reclamation Permit shall contain
three major parts: (1) the application form, (2) Exhibits A-I, and (3) the application
fee. When you submit your application, be sure to include one (1) original signed
application and one (1) copy of the application. fors, txe (2) copies of Exhibits A-I,
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.
-----------------
- GENERAL OPERATION INFORMATION
Type or print clearly, in the spare provided, all information described below.
__________~_--vv.veevaa----xav=saaaae==aae=eoeeaaccxaaae=eeesaaaa=v.aaaavaas:voa=eeaeea.a
1. Applicant/operator name:
2
3

John 0. Buckner
1.1 Type of organization (corporation, partnership, etc.) Sole Proprietor
Operation Name (pit, mine or site name):
CRYSTALJACK (Mining operations)
2.1 IRS Tax ID No. or Social Security No.:
Permitted Acres:
3.1 Application fee: (New Application Only)
C;:bsta;,,:z(s) to be mined (e.;., gold!si?v=r!:
C z.o permitted acres
$250.00 application fee
Crystal mineral specimens
5. Name, address, and phone number of the owner of the surface of the affected land:
U S Deot of 4ericulture FOrPSt Service Srn~th Park n;str;rt 2a2er (710) 8Z6-2011
o. Name of owner of subsurface rights of affected lands:u.s. Bureau of Land Management
7. Type of mining operation: X Surface _ Underground _ In-situ
8. Location Information. The center of the area where the majcrity of mining will
OCCUr lies in: Teller
COUNTY:
PRINCIPAL MERIDIAN (check one>: x 6th (Colorado) 10th (New Mexico) Ute
TOWNSHIP (write number and check direction): _
T 11 North x South
RANGE (write number and check direction): R 71 _ East ~ West,
SECTION (write number): 5 35
QUARTER SECTION (check one): NE NW SE x' SW
QUARTER/QUARTER SECTION (check one>: _ NE _ NW _ SE X SW
GENERAL DESCRIPTION:
(miles dnd direction Approx.
N-31°-E,
4.92 miles
from Lake George, CO
from nearest town and
dpproximdte elevdtiOn) 8.400 to 8.800 feet above sea level