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III IIIIIIIIIIIII III _ ~ - '~ ~~- 999 LIMITED IMPACT OPERATION (110(2)) A~~ G 6 1991 RECLAMATION PERMIT APPLICATION FORM Mined Land The application fora Limited Impact Operation Reclamation Permit c~b~fi~~~(g~kY+e major parts: (1) the application form; (2) Exhibits A-J; and, (3) the application fee. When you submit your application, be sure to include two (2) si ned originals of the application form, two (2) copies of Exhibits A-J, and a c~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 5ia ~.s G Type or print clearly, in the space provided, all information described below. 1. Applicant/operator name: Reba Ruth Abbott 1.1 Type of organization (corporation, partnership, etc.): Inaiviaual 2. Operation name (pit, mine or site name): Tne Trip le R Pit 2.1 I.R.S. Tax ID No. or Social Searity No.: ass-~o-so~o ____________~' _ 3. Application fee for permitted acreage* e.~s permitted acres (E25..00 + 10/acre)* g,7 Note permitted acreage and application fee and attach a check for this amount when you file, slzz.so pplication fee 4. Substance(s) to be mined (e.g., gravel/gold/borrow): el 5. Name of owner of surface of affected land: Michael R. Guff 6. Name of owner of subsurface rights of affected land: Michael R. Luffy 7. Type of mining operation: x Surface _ Underground i In-situ 8. Location information. The center of the area where the majority of mining will occur lies in: COUNTY: Montrose PRINCIPAL MERIDIAN (check one): 6th (Colorado) x 10th (New Mexico) Ute TOWNSHIP (write number and check direction): T a~ x North -South RANGE (write number and check direction): R a East x West SECTION (write number): S yr ~ i QUARTER SECTION (check one): x NE x NW SE SW QUARTER/QUARTER SECTION (check one): X NE x NW ~ SE = SW GENERAL DESCRIPTION: (miles and direction Approximately 9 miles south of Montrose, from nearest town and approximate elevation) Colorado. Elevation 6500 feet. * A fraction of an acre must be counted as one acre for fee calculation. If the operator is a unit of state or county government, an application fee is not required.