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III IIIIIIIIII111111 ~~~.~~~,,>,~, <br />LIMITED IMPACT OPERATION (110(Z)) =E B 2 7 X99"r <br />RECLAMATION PERMIT <br />APPLICATION FORM Mined Land <br />The appilcatfon for a Limited Impact Operation Reclamation Permit contains three major <br />parts: (1) the applicatlon form; (Z) Exhibits A-J; and, (3) the application fee. Whert <br />you submit your applicatlon, be sure to include two (Z) 51 ned originals of the <br />applicatlon form, two (2) copies of Exhibits A-J, and a check for the applicatlon fee <br />described under (3) below. To expedite processing, please provide the information In <br />the format and order described in this form. (~~\ IJ~ I 11 ~ ~ U <br />aaaaam azaazazaszaaazaazaaz azzaasvmazzaazzzvzzu azzS'ia ~s'a ad ~aazaaz iazzaazazaaaaaz <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />zaaanvzzzzzaaaazaazzzzazazzzzzzzazzaazzazz•zzzzazzzazzazzzaazzzaaaaaaazzz zazzazazazzaazza <br />1. Appilcant/operator name: Montrose County <br /> <br /> 1.1 iype of organ}zation (corporation, partnership, etc.>: Government <br />2. Operation name (pit, mine or 51te name): BLM/Ldest End Pit <br /> <br /> Z.i I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted acreage 9.65 permitted acres <br /> 3.1 Appiication fee 5875.00 appilcatfon fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): Sand & Gravel <br /> <br />5. Name of owner of surface of affected land: BLM <br /> <br />6. Name of owner of subsurface rights of affected land: BLM <br /> <br />7. Type of mining operation: X Surface _ Underground _ In-situ <br />8. Location information. The tenter of the area where the majority of mining viii <br /> occur 11es in: <br /> COUNTY: Montrose <br /> PRINCIPAL MERIDIAN (check one): <br />6th (Colorado) X <br />10th (New Mexico) Ute <br /> _ <br />TOWNSHIP (write number and check direction): _ <br />T 46 ~ North South <br /> RANGc (write number and check direction): R 15 <br />East ~ West <br /> SECTION (write number): _ <br />S ~_ <br /> QUARTER SECTION (check one): NE X NW <br />SE SW <br /> QUARTER/QUARTER SECTION (check one): _ <br />_ <br />NE NW SE X SW <br />GENERAL DESCRIPTION: <br />(m11es and direction 1.6 miles southwest of Nucla, Ct7 <br />from nearest town and <br />approximate elevation) 5925 <br />