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EXHIBIT 1V: Source of~gal Right to Enter - Ormiston ~veFPiz7oo 4 (9/96) <br />~ ~ OMB No. 0596-0082 <br />U. S. DEPARTrD;NT OF AGRICULTURE ~ Holder No. ~ Issue Date ~ Expir. Date <br />Forest Service I 1 0 2 Q-0 1 ~ _ _/_ _/_ _ ~ 1 2/3 1j0 2 <br />I I I I I <br />Type Site(s) Authority ~ Auth. Type <br />~_ __ 5 2 2 0 0 2 ~__ 7 2 <br />SPECIAL•USE PERMIT ~ ~ ~ <br />Region/Forest/District ~ State/County <br />~AU[hority: Organic Administration Act 0 2/ 0/ 0 2 ~ 0 8/ 0 3 3 <br />June 4, 1897 ~ ` ` <br />tong. Dist. ~ Latitude ~ Longitude <br />~ 3 ~----'-- I-------I <br />~ ~ <br />Montezuma County of 109 west Main <br />(Holder Name) (Billing Address - 1) <br />(Billing Address - 2) <br />Cortez Colorado 81321 <br />(City) (State) (Zip Code) <br />(hereinafter called the Holder) is hereby authorized to use or occupy National <br />Forest System lands, to use subject to the conditions set out below, on the San <br />Juan National Forest. <br />This permit covers 15 acres and is described as SE 1/4 of Section 9, SW 1/4 of <br />Section 10, NE 1/4 of Section 15, and the Ne 1/4 of Section 16, T39 N, R17W, <br />N.M.P.M., Dolores, County, Colorado as shown on the location map attached to and <br />made a part of this permit, and is issued for the purpose of: Completion of Phase <br />1 of a gravel pit development (refer to the attached pit plan). <br />The above described or defined area shall be referred to herein as the "permit <br />area". <br />TERMS AND CONDITIONS <br />I. AUTHORITY AND GENERAL TERMS OF THE PERMIT <br />A. Authority. This permit is issued pursuant to the authorities enumerated <br />at Title 36, Code of Federal Regulations, Section 251 Subpart B, as <br />amended. This permit, and the activities or use authorized, shall be <br />subject to the terms and conditions of the Secretary's regulations and any <br />subsequent amendment to them. <br />B. Authorized Officer. The authorized officer is the Forest Supervisor or <br />a delegated subordinate officer. <br />C. License. This permit is a license for the use of federally owned land <br />and does not grant any permanent, possessory interest in real property, nor <br />shall this permit constitute a contract for purposes of the Contract <br />Disputes Act of 1978 (41 U.S.C. 611). Loss of the privileges granted by <br />this permit by revocation, termination, or suspension is not compensable to <br />the holder. <br />Page 1 <br />