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~ ~ III IIIIIIIIIIIIIIII ~ ~,_ `, <br />LIMITED IMPACT OPERATION (110(2)) ,~~1/ ~ 6 I~9{ <br />RECLAMATION PERMIT <br />' APPLICATION FORM Civ~~ C ...~, ~_~~_._c,•, <br />The application for a Limited Impact Operation Reclamation Permit contains three major <br />parts: (1) the application form; (2) Exhibits A-J; and, (3) the application fee. When <br />' you submit your application, be sure to include two (2) si ned originals of the <br />application form, two (2) copies of Exhibits A-J, and a check for the application fee <br />described under (3) below. To expedite processing, please provide the information in <br />' the format and order described in this form. <br />_____________________________=3=====____________________ ~ ~~ ~~____==~~4 <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />L -~ L 3 r P <br />1. Applicant/operator name: BACA COUNTY BOARD OF COUNTY COMMISSIONERS <br />' 1.1 Type of organization (corporation, partnership, etc.): COUNTY <br />2. Operation name (pit, mine or site name): G U N KEL PIT //31 <br />2.1 I.R.S. Tax ID No. or Social Security No.: e+~ <br />a <br />t 3. Permitted acreage 9.025 q ermitted acres <br />3.1 Application fee 5875.00 application fee <br />' 4. Substance(s) to be mined (e.g., gravel/gold/borrow): G R AvEL <br />' S. Name of owner of surface of affected land: ZORA GUNKEt <br />6. Name of owner of subsurface rights of affected land: ZOR A G U N KEL <br />' 7. Type of mining operation: X Surface _ Underground _ In-situ <br />8. Location information. The center of the area where the majority of mining will <br />1 occur lies in: <br />COUNTY: BACA <br />' PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 7$_ North X South <br />RANGE (write number and check direction): R 47' _ East X West <br />SECTION (write number): S 29 <br />' QUARTER SECTION (check one): _ NE X NW = SE SW <br />QUARTER/QUARTER SECTION (check one): NE NW SE X SW <br />GENERAL DESCRIPTION: <br />' (miles and direction 11 MILES NORTH AN MILES WEST OF SPRINGF[ELD, <br />from nearest town and <br />approximate elevation) COLORADO <br />es <br />