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<br />_ ~ ~ ,,, ..............1. ~ REG~IV~D <br />999 <br />REGULAR OPERATION (11~) ` <br />RECLAMATION PERMIT JUL U 9 ~g9~ <br />APPLICATION FORM Mined!_and <br />CHECK ONE: New Application CRule 2) Amendment~~~~RlealiCifhLTiRu;Tien1.8) <br />x Conversion Application (Rule 1.10) <br />The application for a Regular Operation Reclamation Permit contains three major 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 C5) 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 in this form. <br />fYl ~_=~~f =__ <br />aaazaaazzaassa=sxazaaaszaaasasszsz=sasszzaaasasasss=aasszzsss=o========aaoz= <br />GENERAL OPERATION INFORMATION Kycf~ ~ i~`f <br />Type or print clearly, in the space provided, all information described below. <br />sa=axza=asssaaasazsaszzs==szaa az==azzzz=a===sa:===aaas=szs=a==s===s=v==sovaaasaa=,,=/==v=cve <br />i. Applicant/operator name: san Miguel County Road Department ~/v ~` <br /> 1.1 Type of organization (corporation, partnership, etc.>: County Government <br />2. Operation name (pit, mine or site name): Norwood Pit (M-81-t54) <br /> 2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: 19.22 Permitted acres <br /> Please indicate acrE!a th) acre. <br />ge to the nearest tenth (10 <br /> ~( <br />~ <br /> 3.1 Application fee (see Section 14>: Application fee <br />T ~T 5 DG <br />4. Substance(s) to be mined le .g., gravel/gold/borrow): Gravel <br />5. Name of owner of surface of affected land: san Miguel County <br />6. Name of owner of subsurface rights of affected land: San Miguel County <br /> If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: " Surface _ Underground <br />S. Location Information: the center of the area where the majority of mining will <br /> occur lies in: <br />COUNTY: San Miguel County <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) x loth (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 4~ X North South <br />RANGE (write number and check direction): R ~~ _ East x West <br />SECTION (write number): 5 13 <br />QUARTER SECTION (check one): NE NW SE x SW <br />QUARTER/QUARTER SECTION (check one): _ NE z NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction 3.5 miles northeast of Norwood <br />from nearest town and <br />approximate eievation) 7270 elevation <br />