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'SJV • III III III III IIII III <br /> 999 <br /> V REGULAR OPERATION:01.27 -� <br /> RECLAMATION PERMIT <br /> APPLICATION FORM <br /> CHECK ONE: New Application (Rule 2) Amendment Application (Rule 1 .8) <br /> Conversion Application (Rule 1 . 10) M —DD . <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 f e. When you <br /> submit your application, be sure to include one (1 ) signed original anJ 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 p ocessing, please <br /> provide the information in the format and order described in this form m 341 <br /> GENERAL OPERATION INFORMATION a5 ?It/ <br /> Type or print clearly, in the space provided, all information des ribed below. <br /> ----- ---------- ----- - -- <br /> 1 . Applicant/operator name: v o , <br /> 1 . 1 Type of organization (corporation, partnership, etc. ) : r <br /> A1�MQY1 'Meht <br /> 2. Operation name (pit, mine or site name): S _ � - S'2/.Z <br /> ,s,s• Fe I x 0 't <br /> 2. 1 I.R.S. Tax ID No. or Social Security No. : - 3 - - Al <br /> 3. Permitted Acres : 200, (v Permitted acres <br /> Please indicate acreage to the nearest tenth (loth) acre. <br /> 3. 1 Application fee (see Section 14) : / S JD•DD Application fee <br /> 4. Substance(s) to be mined (e.g. , gravel/gold/borrow) : D <br /> ne,I c 4, A011s "'Pl s ra�ae <br /> S. Name of owner of surface of affected land: r p <br /> 6. Name of owner of subsurface rights of affected land: E <br /> If 2 or more owners, refer to Exhibit P. <br /> 7. Type of mining operation: Surf ce _ Underground <br /> 8. Location Information: the center of the area where the majority f mining will <br /> occur lies in: <br /> COUNTY: �V I Y✓1 P rI Vvl P r <br /> PRINCIPAL MERIDIAN (check one) : 6th (Colorado) loth (Neq Mexico) _ Ute <br /> TOWNSHIP (write number and check direction) : T _t N rth South <br /> RANGE (write number and check direction): R '-�0 _ Est West <br /> SECTION (write number) : S -� C5 <br /> QUARTER SECTION (check one) : NE NW SE SW <br /> QUARTER/QUARTER SECTION (check one) : NE _ NW _ SE _ SW <br /> GENERAL DESCRIPTION: <br /> (miles and direction y 3 <br /> from nearest town and <br /> approximate elevation) <br /> ORIGINAL <br />