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EGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />CHECK ONE: New Application (Rule 2) x <br />_~ Conversion Application (Rule 1.10) <br />~EC~~VE~ <br />`JUL S 11992 <br />DIVISION~,~OF <br />Am~~n~~i~SA~p-Tica~ion (Rule 1.8) <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 (5) 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 />a°====___~_________'_°_______________°_____°__________________°_______________°__________ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/operator name: xiowa Councv <br />1.1 Type of organization (corporation, partnership, etc.): Government <br />2. Operation name (pit, mine or site name): Garnett Pit <br />2.1 I.R.S. Tax ID No. Or Social Security No. <br />3. Permitted Acres: 24.6 Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): n Application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): gravel <br />5. Name of owner of surface of affected land: William s Lucv Barnett <br />6. Name of owner of subsurface rights of affected land: see Exhibit P <br />IF 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: x Surface _ Underground <br />8. Location Information: the center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Kiowa <br />PRINC:[PAL MERIDIAN (check one): x 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSIIIP (write number and check direction): T 18 _ North ~ South <br />RANGE (write number and check direction): R 49 East g West <br />SECTION (write number): S 3~,_ _ <br />QUARTER SECTION (check one): ,~ NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): <br />NE _ NW _ SE _ SW <br />GENER/1L DESCRIPTION: _ <br />(mile<.~ and direction From Eads, 2} miles South on Road 40. West on <br />from nearest town and <br />approximate elevation) Road N 5} miles, North 3/4 mile <br />