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<br />RLGUL,tR UPIRAf[ON (112)
<br />RECI_AMAr;ON PERMIT
<br />nPPL:''.alION FORM
<br />lI,H application ror a Regi~la~ Uneratir~n Reclamation Permit contains three major parts:
<br />O) the application form, (2> i~hi`.rits n-S; and, (3> the application fee. When you
<br />submit :-,~~~ af.„IiCatiO•,, ';e swe to include five (5> s1 nod copies of the application
<br />faro, f,~ i5> copies of Exhibits A-S, and a check for the application fee described
<br />unaer Sec'.ion Ala) on Page 3. To expedite processing, please provide the information In
<br />the ro~mat and order described in this form,
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<br />GENERAL OPERATION INFORMATION
<br />Eype or print clearly, in the space provided, all information described below.
<br />a._a~__~. :__ ___ _______~==::a...c==ovv~vvsve n~vvvovv ovvvevevu vvvvvvvv uv.ev.=v=~=__.
<br />1. A;,p~ica~ "p:' at~.;r name: Deuictrio and Olive Valdez _
<br />i.l Tyi:~: ~~ c,ganizatior (corporation, partnership, etc.): Husband and wife
<br />as joint enan s
<br />2 Opr ,r~:,~~ .. .~~ ~I,il mine ~~, site na~ne~: Valdes: Gravel Mine
<br />~..I I.~i.'. In •. IU Nt'. ui `~r)t_ldl '.iplln~,ty No.: Applied for
<br />;. P-:~,.'.tle~S 4r.r";: 30 Permi[ted acre
<br />Plea;~~ indicate acreage to the nearest tenth (10th) acre.
<br />3.1 Application fee (see Section 14): $'1,875.00 Application fe-
<br />4 Substance(s) t~ be mined (e.g., gravel/gold/borrow): Sand and gravel
<br />5. Nam^ or u,rner or surface of affected land: Demetrio and Olive Valdez
<br />~. rin,•r .~I .,>,.,,•, ~,I ,nlr.u,l,ur iiyl,l'. ,~f affected lend: _Scime as above ____.,
<br />If ~~~ more owners. refer to Exhibit P.
<br />7. Type or mining operation x Surface - Undergroun
<br />R. ~oCBi~p~ lnri,rmatlon: th,: center of tl:e area whn•e the majority of mining will
<br />occur 1~2; ir: --~~-
<br />COUNTY: ~ne~~s
<br />PgrNrtp:,_ f•tER[~?AN (checi'. one) : 6tn (Color'•ido) x 10th (New Mexico) Ute
<br />TOiJNSHI~ write n(~mber and che ck direetioN: T 3~ x North
<br />~ South
<br />RANGE (hate n~.rmber and check direction): R ~ - x Edst
<br />_ West
<br />SECTION (,.rite number): 5 ~~
<br />QUARTER SCE:Tf~N (check one): NE x NW _ SE _ SW
<br />QIIATtTS~;!(~UAitiE4 ';ECIION (Chnr~ .-,,E) _
<br />NE NW _ SE _ SW
<br />GENE4.~L DLSCti~1iU!! _ _
<br />(miles and direction ah~,ri~ximately _3 miles from Antonito,CO
<br />
<br />:pp~.r~~i°".1t :~• ~~ ~ aooroximately 7,000 ft, elevation
<br />
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