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ii iu~u~~nriiiu • 99 REGULAR OPERATION (112) RECLAMATION PERMIT APPLICATION FORM ~~~ ~ "' - f f't~ r~ ~IAY 2 0 199 Mined Land Re~r~mat~~~ n:..•_; _„ The application for a Regular Operation Reclamation Permit contains three major parts: (1) the application form; (2) Exhibits A-S; and, (3> the application fee. When you submit your application, be sure to include five (5) signed copies of the application form ,five (5) copies of Exhibits A-S, and a check for the application fee described under Section (14) on Page 3. To expedite processing, please provide the information fn the format and order described in this form. ~ ~ _______________________________________________!~=~1 __-~====-k"=.~~--19(0 ~3 _ GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. i 3 5 L 1. Applicant/operator name: nPmPr,-;,, a.,~ nt;.,P vatrtez 1.1 Type of organization (corporation, partnership, etc.?: x„Gt,anct anrt w;fa as joint tenants 2. Operation name (pit, mine or site name): vai~P~ rra„ot Mina 2.1 I.R.S. Tax ID No. or Social Security No.: Applied for 3. Permitted Acres: 30 Permitted acres Please indicate acreage to the nearest tenth (10th) acre. 3.1 Application fee (see Section 14): $1,875.00 Application fee 4. Substance(s) to be mined (e.g., gravel/gold/borrow): Gravel 5. Name of owner of surface of affected land: Demetrio and Olive Valdez 6. Name of owner of subsurface rights of affected land: same as above If 2 or more owners, refer to Exhibit P. 7. Type of mining operation: x Surface _ Underground 8. Location Information: the center of the area where the majority of mining will occur lies in: COUNTY: Coneios PRINCIPAL MERIDIAN (check one): 6th (Colorado) ~ 10th (New Mexico> Ute TOWNSHIP (write number and check direction): T ~_ ~ North _ South RANGE (write number and check direction): R 9 _ East x _ West SECTION twrite number): S 32 QUARTER SECTION (check one): NE x NW SE SW QUARTER/QUARTER SECTION (check one>: _ NE _ NW _ SE _ SW GENERAL DESCRIPTION: (miles and direction _E,n }pi ~ •t a frnm nnfnnifn~ r•n from nearest town and aooroximate elevation) approximately 7,000 ft. elevation