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. ~ ~~; ~ <br />~ III IIIIIIIIIIIIIIII <br />Conversion of 111 to 110 ~ [~ 1~' ~~ s _~ <br />L d~sj ~T~ ItJ~® <br />LIMITED IMPACT OPERATION {110) FE a 0 2 1987 <br />APPLICATION FORM MINED <br />This form contains two major parts: (1) General Operation Information a~A(~/b~c~J rs <br />A-G. When you submit your application, be sure to include two -sig9ned copies of t~e~S10A1 <br />General Operation Information, two copies of Exhibits A-G, and ask for the 11 <br />application fee described under (4) below. To expedite processing, please provide the <br />information in the format and order described in this form.~_~J_13-~(a3`j3_SS__~J~~, <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. '' <br />1. Applicant/Operator Name: Southway Construction Co., Inc. <br /> <br />2. Operation Name (Pit, mine or site name): surton Pit <br />3. Application type: Limited Impact Operation (110): <br />4. Application Fee (E10 x (affected acres) + E25.00).* $'44 affected acres. <br /> Note affected acreage and application fee and <br /> attach a check for this amount when you file. 5115.00 applicatio n fee. <br />5. Substance(s) to be mined (e.g., gold/silver/gravel): 4uarry-Roca <br />6. Owners(s) of Substance to be Mined <br /> (check applicable box(s)1: ~ Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br /> (check applicable box(s)): ~# Private ^ State ^ Federal ^ Indian <br />8. Type of Mining Operation <br /> (check applicable box(s)): >~ Surface ^ Underground ^ In-situ <br />9. Location Information. The center of the area where the majority of mining wil l <br /> occur lies in: <br /> COUNTY: Rio Grande <br /> PRINCIPLE R N c ec one 6th (Colorado) xJOth (New Mexico) Ute <br /> TOWNSHIP (write number and check direction): T ao ~ North ^ South <br /> RANGE (write number and check direction): R 6 >~ East ^ West <br /> SECTION (write number): S 19 <br /> QUARTER SECTION (check one): ^~- ^ NW ^ SE ff3 SW <br /> QUARTER/QUARTER SECTION (check one): ^ NE lax NW ^ SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles dnd direction One (1) mile northwest of Del Norte, CO <br />from nearest town and <br />approximate elevation) Elev. 7950 M5L <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 />