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~ ~ ~~GEI~r ~~ LIMITED IMPACT OPERATION (110(2)) DEC 1 9 1991 RECLAMATION PERMIT APPLICATION FORM f!aaMinaaettd Land The application for a Limited Impact Operation Reclamation Permit Ron ta~n3~0t~r~e~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) signed originals of the application form, two (2) copies of Exhibits A-J, 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. ___________________________________________________~=9L=~ _~_____' l ==y~y =____ GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. 1. Applicant/Operator name: Pete Klein & Richard Zanett a ine ons ruc ion, nc. 1.1 Type of organization (corporation, partnership, etc.): Corporation 2. Operation name (pit, mine or site name): zmk Gravel 2.1 I.R.S. Tax ID No. or Social Security No.: 3. Permitted acreage 9.7 permitted acres 3.1 Application Fee 5875.00 application fee 4. Substance(s) to be mined (e .g., gravel/gold/borrow): Gravel 5. Name of owner of surface of affected land: Pete Klein & Richard Zanett 6. Name of owner of subsurface rights of affected land: Pete Klein & Richard Zanett 7. Type of mining operation: R Surface _ Underground _ In-situ 8. Location information. The center of the area where the majority of mining will occur lies in: COUNTY: Ouray PRINCIPAL MERIDIAN (check one): 6th (Colorado) x 10th (New Mexico) Ute TOWNSHIP (write number and check direction): T +~+ X North South RANGE (write number and check direction): R ~ _ East X West SECTION (write number): S _ ~ _ QUARTER SECTION (check one): NE NW SE X SW QUARTER/QUARTER SECTION (check one): NE x NW ~ SE SW GENERAL DESCRIPTION: _ _ (miles and direction 5 mi. North of Ouray, Co from nearest town and approximate elevation) Elev. 7180