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« III �� <br /> IIIIIIIIIIIIIIII RECEIVED � <br /> JUL 14 1993 <br /> LIMITED IMPACT OPERATION (110(2)) <br /> RECLAMATION PERMIT <br /> APPLICATION FORM <br /> CHECK ONE: New Application (Rule 3.2) Amendment Application (Rule 1 .8) <br /> Conversion Application (Rule 1 . 10) <br /> The application for a Limited Impact Operation Reclamation Permit contains three major <br /> parts : (1 ) the application form; (2) Exhibits A-J; and, (3) the application fee. When <br /> you submit your application, be sure to include one ( 1 ) signed original and one ( 1 ) copy <br /> of the application form, two (2) copies of Exhibits A-J, and a check for the application <br /> fee described under (3) below. To expedite processing, please provide the information <br /> in the format and order described in this form. LL � <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> sz=cc=cccc=zcccczczzccsccccaz.azccczazszaacccccczzczvzz=cccccc==zc=ccccczzza:c ccc=zcccccccz <br /> 1 . Applicant/operator name: Nei I C par, )l ,S 6 o r, e (-o)- <br /> 1 . 1 Type of organization (corporation, partnership, etc . ) : n crI V o r'A 6ti <br /> 2. Operation name (pit, mine or site name) : S(Jh-a -L4e — Iced - Ie�nt, � */11-31-0:5 <br /> 5 f-'c <br /> 2. 1 I .R.S. Tax ID No. or Social Security No. : .52.3-h:t-8329 8ti - ll '1 - '-q41 'f <br /> 3. Permitted acreage Rr 9 permitted acres <br /> 3. 1 Applicat on Fee (New Application Only) . $875.00 application fee <br /> 1l R floc a �✓�R pne v t uua /vH�7f o Vam 6V M 4 a <br /> 4. Substance(s) to be mined (e.g. , gravel /gold/borrow) : S Q h r� c o k, e <br /> 5. Name of owner of surface of affected land: Aef CSn, aaue Arks M, Sn -'Ag e <br /> 6. Name of owner of subsurface rights of affected land: Stz m e <br /> 7. Type of mining operation: Surface _ Underground _ In-situ <br /> 8. Location information. The center of the area where the majority of mining will <br /> occur lies in: <br /> COUNTY: IOU/ J e v- <br /> PRINCIPAL MERIDIAN (check one) : Z( 6th (Colorado) loth (New Mexico) _ Ute <br /> TOWNSHIP (write number and check direction) : T -3 North South <br /> RANGE (write number and check direction) : R ? _ East X West <br /> SECTION (write number) : S 7 <br /> QUARTER SECTION (check one) : NE NW SE SW <br /> QUARTER/QUARTER SECTION (check one) : _2� NE _ NW SE _ SW <br /> GENERAL DESCRIPTION: <br /> (miles and direction � 4oas Inevnn � enJ o � <br /> from nearest town and neq Y I <br /> approximate elevation) - t e e _ syn 0 L'e rtppp X <br /> ,5900 ' 21eUu Dl1 <br />