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~ t <br />•-. <br />CHECK ONE: <br />• <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />?~ New Application (Rule 2) <br />Conversion Application (Rule 1.10) <br />• RECEIVE <br />N1AR 11 1993 <br />Division of Minerals d neology <br />Amendment Application (Rule 1.8) <br />The application for a Regular Operation Reclamation Permit contains three mayor parts: <br />(1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include one (1> signed original and four (4) signed <br />copies of the application form, five (5) copies of Exhibits A-S, and a check for the <br />application fee described under Section (14) on Page 3. To expedite processing, please <br />provide the information in the format and order described 1n this form. ''((''~~II ~~^^// <br />a aaaaaaaaaaaaaaaa aaasaaaaasaaaaaazaaa aaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaae~`~ca ~aaav~aaaav <br />GENERAL OPERATION INFORMATION Rp,r~ ~ 3~cc•I <br />Type or print clearly, in the space provided, all information described below. <br />aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaataaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaoaaaaaaaa <br />1 . Applicant/operator name: i~lor~saT ~,u.~.JT~ o.aD 17~?~.2TM E ~ <br />1.1 Type of organization (corporation, partnership, etc.): CO v~J ~~ <br />2. Operation name (pit, mine or site name): C2oS5 M~.l~1To.rJ 'PrT ~ 1 <br />2.1 I.R.S. Tax ID No. or Social Security No.: ,~~~ ~ L~c~ ~ - -1C~ 5 <br />3. Permitted Acres: Z-O Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): )~ 18~ S e~ Application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): f~ 0 2ep~,J <br />5. Name of owner of surface of_ affected land: Q.2oss --~IO~~T~rJ ~aJe.i-~. LTD <br />6. Name of owner of subsurface rights of affected land: S A~.n ~. <br />If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: `! Surface _ Underground <br />8. Location Information: the center of the area where tiie ~~~a~ority cf mining will <br />occur lies in: <br />COUNTY: N~bFF-+4T' <br />PRINCIPAL MERIDIAN (check one): `~ 6th (Colorado) 10th (New Mexico) <br />Ute <br />TOWNSHIP (write number and check direction): T ~~ J( North _ <br />South <br />RANGE (write number and check direction): R ~$_ _ East ~ West <br />SECTION (write number): S r~ <br />QUARTER SECTION (check one>: NE NW SE x SW <br />QUARTER/QUARTER SECTION (check one): _ NE ~ NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and di rectlon 1~ Mi FaST oP <br />~ C7 <br />5TO Jam . ~OLO <br />from nearest town and <br />approximate elevation) O.~ e-o~.JT <br />~Q..oP.1J ~ /O~ f O <br />