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, ~ iii iuiiiiiiiiiiiii , 4 RECEIVED 4- FE3 17 1990 SPECIAL (111) OPERATION RECLAMATION PERMIT Division o(Minerals 8 Geology APPLICATION FORM The application fora Limited impact Operation Reclamation Permit contains three major parts: (1) the application form; (2) Exhibits A-I and K, any required sections of Exhibit S and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules 6.1, 6.2, ,6.3, 6.4.19, and 6.5, (3) the application fee. When you submit your application, be sure to include one (1) signed and notarized original and one (1) copy of the application form, two (2) copies of Exhibits A-i and K, Exhibit S and Geotechnical Stability Exhibit, and a check for the application fee described under (3) below. Exhibits should not be bound or in a 3- ring binder; maps should be• folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. --- ----- - ________________ ' G&NERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. 1 Applicant/operator name I:iriaand Construction. R.L.L.P. („Yl-.~~' ~r~ 1.1 Type of organization (corporation, partnership, etc.): Lia'hility Partnership 1.2 I.R.S. Tax ID No.: 84-1326587 2. Operation name (pit, mine or site name): Two Rivers 3. Permitted acreage: 30 permitted acres 4. New Application 5625.00 application fee 5. Primary commoditie(s) to be mined: Gravel 6. Name of owner to the surface of affected land: Cd rl Pdntdleo 7. Name of owner to the subsurface rights of affected land: Carl Pantaleo 8. Type of mining operation: _XSurface _ IInderground _ In-situ 9. Location information. The center of the area where the majority of mining will occur lies in: coIINTx: Pueblo PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Mexico) _ Ote SECTION (write number): S TOWNSHIP (write number and check direction): T 2]` _ North ~ South RANGE (write number and check direction): ~ R 61 _ East ~ West QIIARTER SECTION (check one): NE ~ NW _J SE _ SW QOARTER/QOARTER SECTION (check one): X NE _ NW G SE _ SW GENERAL DESCRIPTION: (miles and direction from nearest town and approximate elevation) A~nrnximatrly~_Y12 miles south Of Boone • Elevation 4480 feet 10. Correspondence information: APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) Individuals Name: James H. Kirkland Title:9eneral partner Social Security No.: company Name: Kirkland Construction, R.L.L.P. street: 2171 Plain Street P.O. Box 5B~ city: Rve State: CO Zip Code: 81050 Area Code: 719 Telephone: 489-3385 PERMITTING CONTACT (if different from applicant/operator above)