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• <br /> REGULAR OPERATION (112) <br /> RED M,A1dAT1ON PERMIT <br /> APPLICATION FORM <br /> •CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br /> Conversion Application (Rule 1.11) <br /> Permit No. M- 77 - 347, (provide for amendments and conversions of existing <br /> permits) <br /> The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br /> the application form; (2) Exhibits A-S and Geotedmical Stability Exhibit; and, (3) the <br /> application fee. When you submit your application, be sure to include one (1) signed and <br /> notarized original and four (4) copies of the application form, five (5) copies of Exhibits <br /> A-R and any required sections of Exhibit S and the Geotedhnical Stability Exhibit, and a <br /> check for the application fee described under section (16) on Page 3. Exhibits should not <br /> be bound or in a 3-ri.ng binder; maps should be folded to 8 1/2" S 11" or 8 1/2" 3 14" size. <br /> To expedite processing, please provide the information in the format and order described <br /> in this form. <br /> --------------------____________ — <br /> - -------------- <br /> ------------------- ------------ <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> ---- ----------------------- <br /> 1. Applimnt/operator or company name ( to1 be( useo oar permit) : a <br /> L .t./L4 ZaAPA"L � �7L-+�L� SD /yI/�LC'I•`!� /1'�/CL <br /> 1.1 Type of organization (corporation, partnership, etc.) : <br /> 1.2 I.R.S. Tax ID No. or Social Security Number: �/3- - b <br /> 2. Operation. name (pit, mine or site name) : Uf QSC.t� /l4rt� <br /> •3. Permitted acreage (new or existing site) 35137. 36 permitted acres <br /> 3-1 Change in acreage (+ or -) - 0, 57 acres A- <br /> 3.2 Total acreage in Permit area 75 acres <br /> 4. Fees: -P�-k *f4c "e ; wfSew . o- d sty r.o ac. d8l"a ./ <br /> 4.1 New Application application fee <br /> 4.2 New Quarry Application _ quarry application <br /> 4.3 Milling Application (Non-MD) milling application <br /> 4.4 Amendment Fee _ _ amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) _ conversion fee <br /> 5. Primary ccmmoditie(s) to be mined: Aec,4IL341E-,llrr <br /> S. Name of owner of surface of affected land: `FEE [LS Alo Z <br /> 7. Name of owner of subsurface rights of affected land: ! i4s e- A5 A.10- 1 <br /> If 2 or more owners, refer to ExbJ it O. <br /> 8. Type of mining operation: _ Surface —t-�Bndergrvund _ In-situ <br /> 9. Location Information. the center of the area where the majority of. mining will <br /> occur lies in: 4,yj) _ .4i SATE <br /> _ comers �t�: (° nz c.��-� —M/�v.,.�r, - <br /> PRINCIPAL l ER.=1 1N (Check one) : 6th (Colorado) — loth (flew Mexico) _ Ute <br /> SECTION (write number) : S <br /> TOWNSMP (write number and check direction) : T _ North -South <br /> RANGE (write number and check direction) : R East _�West <br /> QUARTER SECTION (check one) : _ NE —PW — SE _ SW <br /> QUARTER/QMUM7M SECTION (check one) : NE NW SE SW <br /> GENERAL DESCRIPTION (miles and die ction from nearest tpwn and approximate <br /> elevation) : r11!^/F - 9 /r1%/2s LO [/e.' /D iBU.Kz� <br /> • .Ntc.L — LS /h•'/�5 �Lc�Lc � l2s/ct!/ �/vhaLn 2.%P. r//7�'M5`. . <br />