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~~'~'~~v~U <br />REc III IIIIIIIII~~IIIII iz} <br />nrrLll.AllUn hURM AEG ~2 1894 <br />biu~5:~n . . <br />CHECK ONE: ,+`~ New Application (Rule 2) Amendment Applica`~f~i"ri`~6(tu~l~ee0p~~ <br />Conversion Application (Rule 1.10) <br />The application for a Regular Operation Reclamation Permit contains three major parts: <br />(1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include one (1) signed original and four (4) signed <br />copies of the application form, five (5> copies of Exhibits A-S, and a check for the <br />application fee described under Section (14) on Page 3. To expedite processing, please <br />provide the Information in the format and order described in this form. m .cty _ ~~~ <br />mzzzzzzzsavaaaszvmmmzsavmxzvvzzevzavazamazsvxzaaaavszmxzzvvzaazsszzzssav zzmzzzzzszzzm ms <br />GENERAL OPERATION INFORMATION ~ a QS~S <br />Type or print clearly, in the space provided, all information desc ibed below. <br />masts:assavmvvsvvaa-svszevvzaaazazszzvzmmvvzaaszamaaazaamszzsxzzmaazaa zzzzzzszzzzmzzzzaaz <br />1. Applicant/operator name: ~Gna1cQ 1~~fler <br />1.1 Type of organization (corporation, partnership, etc.>: In~jl£ ~ ~o p rretct~Sh~~ <br />2. Operation name (pit, mine or site name): P~0.~ rn In ~, <br />2.1 I.R.S. Tax ID No. or Social Security No.: 5~~-f~~-'-fLll'`7 <br />3. Permitted Acres: ~ 0 Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): Application fee <br />4. Substance(s) to be mined Ce.g., gravel/gold/borrow): ~e0.+~ ~C11'1CQ. , af'C1,UE~ <br />5. Name of owner of surface of. affected land: ~j(10i1~ l-.~.~10~("~~C _ <br />6. Name of owner of subsurface rights of affected land: I~OCl0.~~ ~, ~jq,~rier <br />If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: •,, Surface _ Underground <br />8. Location Information: the center of the area where the majority of mining will <br />occur lies 1n: <br />COUNTY: Alc~mo`k <br />PRINCIPAL MERIDIAN (check one): / 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T ~'~7 / Northi~OU'F South <br />RANGE (write number and check direction): R !~',- _ <br />/ East West <br />SECTION (write number): S ~_ <br />QUARTER SECTION (check one): ~, NE ~ NW SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction ` ~~ „p Lll <br />from nearest town an V "~-"" ~v,.o.~ nr , ~~S Ule~ l l00 '" <br />approximate elev~t~~ ~ l/~ m l S o~ ~~~ Dvl r-ra~{-~S?~c 4,~~ __ <br />\` <br />O <br />