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~ .. <br />+~ . ~ III IIIIIIIIIIIIIIII ~ <br />LIMITED IMPACT OPERATION (110(2)) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />CHECK ONE: New Application (Rule 3.2) xxx Amendment Application (Rule 1.8> <br />_ Conversion Application (Rule 1.10) <br />The application for a Limited Impact Operation Reclamation Permit contains three major <br />parts: (1) the application form; (2) Exhibits A-J; and, (3) the application fee. When <br />you submit your application, be sure to include one (1) signed original and one (1) copy <br />of the application form, two (2> copies of Exhibits A-J, and a check for the application <br />fee described under (3) below. To expedite processing, please provide the information <br />in the format and order described in this form. <br />______________~______________________________=__________________= M==$~===a~~________ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1 . Applicant/operator name: Lonknnon Rrnc ~pno in.+ ~ f!! C - ~J~ <br />1.1 Type of organization (corporation, partnership, etc.): C'n r~ nra +.; nn <br />2. Operation name (pit, mine or Site (Idme): Beech Hill Quarries <br />2.1 I.R.S. Tax ID No. or Social Security No.: n~i~n~~_nnnn <br />3. Permitted acreage g_qg permitted acres <br />3.1 Application Fee (New Application Only) 5875.00 application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): uP,~ 4anAcrnna <br />5. Name of owner of surface of affected land: same <br />6. Name of owner of subsurface rights of affected land: Gamo <br />7. Type of mining operation: xx Surface _ Underground _ In-situ <br />8. Location information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Houlder <br />PRINCIPAL MERIDIAN (check one): x 6th (Colorado) 10th (New Mexico) _ Ute <br />TOWNSHIP (write number and check direction) : T ~ x North South <br />RANGE (write number and check direction): R ~ _ East x West <br />SECTION (write number): S ~ <br /> <br />QUARTER SECTION (check one): _ <br />_ NE ~~ NW _ SE <br />~ SW <br />QUARTER/QUARTER SECTION (check one): NE NW SE SW <br />GENERAL DESCRIPTION: <br />(miles and direction 1 mile North of Lyons at 6000 ft. <br />from nearest town and <br />approximate elevation) <br />~~_~1 <br />r ~~ <br />`~ ~ b~~~ JUL 22 1994 <br />\ ~~ ~ " Cis°~~cr a i::u,u;cs c G°c'c:'Y <br />