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• ~ ` <br />~ III IIIIIIIIIIIIIIII ~ RECD-vE~ <br />sss MAY 2 2 1991 <br />LIMITED IMPACT OPERATION (110) Mined Land <br />APPLICATION FORM Reclamation Division <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you submit your application, be sure to include two slgne~d copies of the <br />General Operation Information, two copies of Exhibits A-G, and a-c ck for the <br />application fee described under (4) below. To expedite processing. please provide the <br />information in the format and order described in this form. q _- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />aaaaasve=o.ve.e.o...vo.ee....evv.eoo.vee..eeevveeeeeeeoa.eo.~=.voo.ee.....eeeeeo.o.oeoeoe <br />1. ~ Applicant/Operator Name: Lincoln County <br />2. Operation Name (Pit, mine or site name): Ravenkamp Fit r~l <br />3. Application type: Limited Impact Operation (110). ~- <br /> //~~ ~ <br />vl~ <br />4. Application Fee for Permitted Acreage* rnitted acres. <br /> (E10 x (affected acres) + E25.00).* <br /> Note permitted acreage and application fee and <br /> attach a check for this amount when you file, application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): Road Gravel <br />6. Owners(s) of Substance to be Mined • <br /> (check applicable box(s)): ~I Private ^ State ^ Federal. ^ Indian <br />7. Owner(s) of Record of Affected Land <br /> (check applicable box(s)): L#] Private ^ State ^ Federal p Indian <br />8. Type of liining Operation <br /> (check applicable box(s)): p Surface ^ Underground ^ In-situ <br />9. Location Inforr~atiort. The center of the area where t he majority of mining will <br /> occur lies in: <br />COUNTY: • <br />PRINCIPLE MERIDIAN check one ~ (~ 6th (Colorado) ^ 10th (New Mexico)^ Ute <br />* If th? operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation. <br />TOWNSHIP (write number and check direction): T ~1 ^ North South <br />RANGE (write number and check direction): R ~_ O East C~ West <br />SECTION (write number): 5 g <br />QUARTER SECTION (check one): Off- ^ NW ® SE ^ SW <br />QUARTER/QUARTER SECTION (check one): C~ NE ^ NW ^ SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Five milers WP Rt n£ Hugo . C o nn Cn rre ctmnn <br />from nearest town and <br />approximate elevation) line road then two miles south, E1. 5320 <br />