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~ ~ ~~CEIV'Ei~ <br />REGULAR OPERATION (112) APR 01 1992 <br /> <br /> <br />RECLAMATION PERMIT Mined Land <br />APPLICATION FORM Reclamation Di~~+cr~~ <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 yeu <br />submit your application, be sure to include five (5) signed copies of the application <br />form five (5) copies of Exhibits A-S, and a check for the application fee described <br />under Section (14) on Page 3. To expedite processing, please provide the information in <br />the format and order described in this form. m , ~ ,~~~ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />I . Appl icant/operator name: - IC(1 ~ ~G S l..OltC/~~~~~NC• <br />1.1 Type of organization (corporation, partnership, etc.): C o r P- <br />2. Operation name (pit, mine or site name): OrBGiHnDµ ~i ~ ,,l/ / ~/ q <br />2.1 I.R.S. Tax ID No, or Social Security No.: 7aXyo-L~7f~51p I~7/ <br />3. Permitted Acres: ~ 6• Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): CpNVerSiOyr- ~"~SOO Application fee <br />a. Substance(s) to be mined (e.g., gravel/gold/borrow): a~~ nc~ >'t~O~GL <br />5. Name of owner of Surface of affected land: ~~MQn~,~r~iaY~/Cf~~i4s <br />6. Name of owner of subsurface rights of affected land: D~ Q h~~i~ h ~R f~r~ s <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 the majority of mining will <br />occur lies in: <br />COUNTY: l~ i O lS1-~(,(,h L' P~ i <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) Y 10th (Ne Mexico) Ute <br />TOWNSHIP (write number and check direction): T 40N• North _ South <br />RANGE (write number and check direction): R _~G. ~fEast _ west <br />SECTION (write number): S ~7 <br />QUARTER SECTION (check one): E NW _ SE -~ StJ,. <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE ~,W <br />GENERAL DESCRIPTION: - <br />(miles and direction 7mi~as><of.~4.~L~~~!"C'o%-~~~~++' n~~~-l~oh~/g, <br />from nearest town and ~ ~O ""~'~ <br />approximate elevation) ~Ol'C7 ,-~-~- <br />