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19 I ~~~~~'~t } ~5•-i <br />• <br />Form 3510-1 rlr tri <br />1?.Fan h 19A81 U N hf ED ST,\'f ES <br />DF,PARTh1ENTOFTFIEINTERIOR .'~,~v~,~; <br />9URF,AU OF LAND h1ANA(ilihlF.N l <br />rY?~~<. <br />FREE USE APPLICATION AND PERMIT <br />VEGETATIVE OR MINERAL MATERIAL <br />APPLICATION <br />x ~ iJ9~ORM .4PPFtgVED <br />OMB NO. nNM~Ml01 <br />F..tpirea: fk'tnber 31, 1990 <br />Eapiralrnn I)ntt <br />Ultl nrl <br />Montrose <br />N amt nl applicant :\ddresa lint fudr : ip r ndr y <br />Montrose County P.O. Box 1289, Montrose, CO 81402 <br />Kind of material IFslimnlal qu:mnrv 100.000 Va Cd4'' <br />c....d .....1 ..~~....1 <br />Give legal IanA deaariplmn <br />FUWVSIIIr RdNGF. SI'!'IION GIIRhI\'ISIIIN <br />T.46 N., R.li LJ., Sec. 17: i4W5WSiJ <br />Slme nl Colorado Ire+llnly ,+l Montrose <br />\I alenak art n. ht uttd fnr <br />Maintenance and construction of Pontrose County roads. <br />I HF R Fm' :\GRFI~. fn Cr1A11'L) \V I I II the cpecial cnmlimma as act fnnh hclnw. I (~h It 114 )' I h:R Ih<~ I:n malrrial<lo hr removed art Ir hr asrJ fnr the put pose nntrd <br />whoa e: Ihl none nl the mntenak remnceJ are In he sold nr harle redact ranntal of m:uaiala c:m hcgm ooh open tore ipl ul an apprm <J copy of thi< permm: and pll the <br />authnrilnl nliar is da he nuUfitJ upon urmplclinn of removal. <br />I ('I RTIFY I h;n I :vn a ciuren of the ILured Sl:u cv, and of ILC n¢< ul m:gnrily m Ibe Sl ale m wh1<h I rcvide. <br />I FI'R 1111 R CI'.R 111'< That the al:Uerne nls marl[ by me in rhi< applic otinn :ut one. cnnlpl<I r. anJ torten Ir. the hell of rm knnnledgt .mJ helitl amt :ue maJe m gmad <br />Lmh _ <br />1I)altl <br />al .\pplic:ml l <br />Fnle IX 1!$( ':eclinn PXll. makr!ilac~me Loa vp<r..m knnwinrly and w~llhdlc rn Woke l~~:nn Arl•:ulmm~l .n terms nl Aa l~nilyd Crap•:ure l;Jac.linirivm.mlr:wdnlrm aaremrnla.n <br />mnm<enurrnna as ro am manor vrrhm in ryn<Aicrn~n. <br />PERMIT <br />SPECIAL CONDITIONS <br />This permit is herehv hued fnr the malenak appl¢J fnr hnl ma5• he canto kd d n appcara Ihal This permu vvaa ia<ual •rrnnemislc ar the lama nr rnnJinnns cool wined <br />heran are nm nhac rveJ. II <hall he suhjea m Iht follnu mg <peual candrluma: <br />See attached. <br />Inlormm~on w cnikcled In rnmple tvilh Ctauncs I Ih 11.5.('. ROd-1,116 ;md acrncv Rtgvlalions fJl C'F'R 331 LI-III11. <br />Information if useJ to confirm the reaiJence of the npplicanl. <br />.4pplicanl nrun respond In ohmm a permu. <br />C Imam \ allnn pratllC[S nlrlll hr Carrlrrl nlrl .l[ nr n\ Illr(I ha J i ( b It 551 I I - I I h I, .! ~ 411. <br />and .1 J; <br />FlllupnKnl, Pfrannal nn•pfrlc. aNl Imnm+[mf nla mn•r hr •cnyKrl o Whin nim'1:. In111 <br />Aavs whet ea nnaknn dare Ja CFR 351 L)-h: <br />r\m nK .rl the wort art nl the I:mJs mcola ed m dua p<rrun .Imll hr anch a. mn Ire <br />inr<rlerr uiur ana mmmg Bann <vhRn In Ihr nun nn.na nl 4cbnn J..I I he .\<I n( Ivk <br />a!, 193$ 1)0 U.S C. FI 11, <br />_L /~L~ _.__..-_. <br />!j / II)altl <br />I I¢ pcrnuncr .b:Jl [Ir:vr np all unrk .veaa .end •h:Jl remme nr Jiapnar r•1 all rtlrlar <br />regrh me hom Ih< permmrr i nperarinna: <br />rlu. rernw i< noted nndrr dle A[I nl talc 1I. 10d i, as mnrnde~l end d 11! S.('. ani <br />I M1..md under Iht free vat nrivJege nl the ~\cl nl Nn Id, IR9R tAlaaka only 1. <br />\n anneal rrpml mdrearins the ammvrl lcu aJa nr rrmal nl marermlrmmved moat h. <br />tdcd .. n h Ibe 1)i<I nc11711ice ern the nnnrveraarv dale nl the nermir, nr w'irhm 1/11111 / tn, <br />Java nltrr pcrmn rape nrirm t,\laaka nnh 1. <br />~v ~ L~ <br />ISipr al vre nl Anllunntd Illliral --~ _-~ <br />MPUCANT <br />