PERMFILE50207

• Permit No: M2004030
• IBM Index Class Name: Permit File
• Doc Date: 4/23/2004
• Doc Name: 110c Appl
• From: T Bone Stone Inc.
• To: DMG
• Media Type: D
• Archive: No

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6. Name of owner of the subsurface ri¢hts of affeMed h
7. Name of owner of the surface of a8eded land:
8. Tvoe of mrolna operation: t-~Sutface
9. location hdormation: The ~ of the area where the majotAy of mining win occur:
PRINCIPAL MERIDIAN (check one): ~ 6th (Coktrado) 10th (New Mexico) Ute
SECTION (write number): S _ ~L'~
TOWNSHIP (write nambar and check direction):
RANGE (write ~rnber and check direction):
QUARTER SECTION (check one):
QUARTER/QUARTERSECTlON (check one):
T ~_
R~
~~
East
_~ NE /NW
NE 1/ NW
South
/ west
SE SW
SE SW
GENERAL DESCRIPTION: (the number of mrles and direction from the nearest town end the approximate elevation): ~rvt ~ ~~
~~ ~',g DO ~t • L~i.~ n S
10. Prlmarv fadtrc (Paetmininol land nee (chock otte):
_ Crophmd(CR)
.-~S Rangelaad(RL)
_ ResidentiallRS)
_ Developed WaterResomxs(R'R)
I1. Prhnarv nt^esent land nee (check Duel:
_ Cropland(CR)
Rangeland(RL}
_ Residentiel(RS)
_ Developed Water Resources (R'R)
Pasdnelsod(PL) _ CreneralAgricuhutejGA)
_ Fares[ry(FR) _ WildlifeHabitat(9JL)
_ Recreafiom(RC) , lndasiriaUCommercial(IC)
,_ Solid waste DisPosal(WD)
_, Pasttueland(PL} _ General Agcicultore(GA)
_ Forestry(FTL) _ Wildt~'e Habita[(WL)
_ Recnesoion(RC) _ Iudusocial/Commeruial(IC)
_ Mming ~
12. If this operation will use designated chemicals, or wr11 resnh, ~ presently has acid mine drainage - You ~ use this application farm.
You must submit either a ] ]Odor 1124 application fmm for Designated Mining Operations. In eitha case, you mast list any acidic ar
toxio-forming materials, exposed or disturbed as a result of the miniug operation, and whether the operation will result in or presently
has acid mme drainage:
No~~
13. ]kecrlotwn of Amendment or Conversion:
~..
If yon are amending or converting an existing operation, provide a brief narrative descnbing the proposed change(s):
NotV~,
Undergound In-sim