PERMFILE66735

• Permit No: M1993030
• IBM Index Class Name: Permit File
• To: CARL B MOUNT
• Media Type: D
• Archive: No

TWO-ACRE LIMITED IMPACT OPERATION (110(1))
RECLAMATION PERMIT
APPLICATION FORM
CHECK ONE
The application for a Two-Acre Limited Impact Operation Reclamation Permit shall contain
three mayor parts: (1) the application form, (2) Exhibits A-I, and (3) the application
fee. When you submit your application, be sure to include one (1) original signed
app?'cation and one (1) copy of the applicatie^. fer!~, two t?~ ropios of Exhibits A-I,
and a check for the application fee described under (3) below. To expedite processing,
please provide the information in the format and order described in this form.
GENERAL OPERATICN INFORMATION
Type or print clearly, in the ipdte provided, all information described below.
1. Applicant/operator name:
1,1
2
3
5
New Application (Rule 3.3)
_ Conversion Application (Rule 1.10)
John 0. Buckner
Type of Organl2ation (.r_nrporaticln; ndrtnershio; etc.) Sole Proprietor
Operation Name (pit, mine or site name):
CRYSTALJACK (Mining operations)
2.1 IRS Tax ID No. or Social Security No.:
Permitted Acres:
3.1 Application fee: (New Application Only)
.,,,.,~~o,,,.~.~, ~o be mire e.;., ;oi .. ..
/ ~F(~EIVEC
APR 16 1993
Division of rmnerar, l5, ;;eU1o Y
Amendment Application (Rule 1.81
z.o permitted acres
5250.00 application fee
Crystal mineral specimens
Name, addr?ss, and phone number of the owner of the surface of the affected land:
U S I7eot of Agriculture Forest Service mouth Park I]ictl•irt Rana r (7191 8:6-2021
Name of owner of subsurface rights of affected lands:U.S. Bureau of Land Management
7. Type of mining operation:
c. Location Information
occur lies in:
522-zz-7936
x Surface _ Underground _ In-situ
The eerier cf the area where the ma~crity of mining will
COUNTY:
Teller
PRINCIPAL MERIDIAN (check one): x 6th (Colorado) 10th (New Mexico)
Ute
TOWNSHIP (write number and check direction): T 11 _
North x _
South
RANGE (write number and check direction): R 71 _
_ East ~_ west
SECTION (write number): S 35
QUARTER SECTION (check one): NE NW SE x SW
QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE x SW
GENERAL DESCRIPTION:
N
1°
E
A
2
il
f
L
k
(miles and direction -3
pprox.
-
, 4.9
m
es rom
a
e George, CO
from nearest town and
dpproximdte elevation) 8,400 to 8,800 feet above sea level