ENFORCE37848 - Laserfiche WebLink

Home Browse Search

(~~8/'afof ~wnc(o"t~ 7/ag~0~{ ~neari^y ~'~ Eureka 6.~,,~.I . n~'~ ~~'", M> (4 So- 0.70 LIMITED IMPACT OPERATION (110(2)) APPLICATION FORM ~G.S The Application for. a Limited Impact Operation Reclamation Permit contains three major parts: (1) the Application Form, (2) the Application Exhibits A-F, and (3) the application fee. When you submit your Application, be sure to include two si ned copies of the Application Form, two copies of Exhibits A-F, and a check for the app rca ion fee described under (4) below. To expedite processing, please provide the information in the format and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. 1. Applicant/Operator Name: San. Juan County 2. Operation Name (Pit, mine or site name): Eureka fr oval Pit 3. Application type: Limited Impact Operation (110). 4. .Application fee for Permitted Acreage* T,,,.pp permitted acres. ();10 x (affected acres) + E25.00).* Note permitted acreage and application fee and attach a check for this amount when you file. application fee. 5. Substance(s) to be mined (e.g., gold/silver/gravel): ,/~~~ ar,,,a,,t~" rnzdbas^ 5. Owners (s) of Substance to be Mined (check applicable box (s )): ~ Private _ State ~ Federal _ Indian 7. Owner(s) of Record of Affected Land (check applicable box (s )): ~ Private _ State ~ Federal _ Indian :?. Type of Mining Operation (check applicable box (s )): ~ Surface _ Underground _ In-situ 9. Location Information. The center of the area where the majority of mining will occur lies in: COUNTY: Sans ~ PRINCIPLE ER A! c ecc one 6th (Colorado) 10th (New Mexico) Ute TOWNSHIP (write number and check direction): T ~~ ~ North South RANGE (write number and check direction): R ~_ _ East ~ West SECTION (write number): S 19 QUARTER SECTION (check one): ~- NW SE SW QUARTER/QUARTER SECTION (check one): ~ NE _ _ NW SE - SW GENERAL DESCRIPTION: - (miles and direction 7.8 miles ~prtheast of Silverton, Colorado on from nearest town and c p y ro d I{2 at old Eureka town site,elevation approximate elevation) ~~~~ rcui. * If the operator is a unit of State or county government, an application fee is not required. A fraction of an acre must be counted as one acre for fee calculation.