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. <br />`~ REGULAR OPERATION (112) /~ <br />RECLAMATION PERMIT l:.o~.l`~E2.SIOt.~ <br />APPLICATION FORM <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 five t5) signed copies of the application <br />form ,five (S) copies of Exhibits A-S, and a check for the application fee described <br />under section (14> on Page 3. To expedite processing, please provide the Information in <br />the format and order described In this form. <br />......................................................................................... <br />GENERAL OPERATION~bNFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/operator name: ~oFFAT Co,~~4~ -Rc~n 1~po`sZTnnE~.)T <br />1.1 Type of organization (corporation, partnership, etc.): CoJrJT~ <br />2. Operation name tptt, mine or site name): 'R~~a ~~2~ PST' -Jn. 1~1 <br />2.1 I.R.S. Tax IO No. or Social Security No.: $`~' L O O o 7 8 S~ <br />3. Permitted Acres: ZO Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14>: <br />Application fee <br />4. Substance(s) to be mined (e.g., gravellgold/borrow>: ~~ - < <br />5. Name of owner of surface of affected land: ~•L-• M <br />6. Name Of owner of subsurface rights of affected land: ~•~-• ^~ <br />If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: ~ Surface _ Underground <br />8. Location Information: the center of the area where the maJority of mining will <br />occur lies in: <br />COUNTY: Mo>=FAt"r <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) loth (New Mexico) Ute <br />TOWNSHIP (write number and check directio n): T 11- ~ North _ <br />South <br />RANGE (write number and check direction): R Io1 _ East ~ West <br />SECTION (write number): S ,2~_ <br />QUARTER SECTION (check one): NE NW <br />SE X SW <br />QUARTER/QUARTER SECTION (check one): _ <br />_ <br />NE _ <br />NW SE ~ SW <br />GENERAL DESCRIPTION• <br />(miles and direction ~00 MILES A.1Lt~ `~ 1~/~AP.~ELI,. l.A~-•O• <br />from nearest town and <br />approximate elevation) ~ 2c~o E!_E/ <br />