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• III III III III IIII III • G~-~r'~~ rn <br />999 <br />l~ov ~ ~. 1993 <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM ~~~'~=~~~~~~•~^~~~~~-~Y„_._yy <br />CHECK ONE: New Application (Rule 2) ~ Amendment Application (Rule 1.8) <br />Conversion Appllcatlon (Rule 1.10) <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 one <1) signed original and 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 processing, please <br />provide the information in the format and order described in this form. <br />---------- --------- ------- --------- --------- <br />GENERAL OPERATION INFORMATION Qo.~I~ alDO53 <br />Type or print clearly, in the space provided, all information d scribed below. <br />1. Applicant/operator name: <br />1.1 Type of organization (corporation, par~tn-ersh/i~p, etc.): ~'C92iJnR~'~ION <br />2. Operation name (pit, mine or site name): ~tUt-fEL-D ~~'f' l~t~. <br />2.1 I.R.S. Tax ID No. or Social Security No.: ~4 - D X354 20 O <br />3. Permitted Acres: Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Appllcatlon fee (see Section 14): ~ ~rSS0,O0 Application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): //G~~12AVEL `i- ~rlD <br />5. Name of owner of surface of affected land: (?C~~~I1=L~ ANA uS..I NC. <br />6. Name of owner of subsurface rights of affected land: S,4tM F- <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: ~c.~~~7(.( <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) X 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T ~ ~ North South <br />RANGE (write number and check direction): _ <br />R East ~ West <br />SECTION (write number): S 11. _ <br />QUARTER SECTION (check one): NE X NW SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ _ <br />NW SE ~ SW <br />GENERAL DESCRIPTION: <br />(miles and direction ~y~~pY~V~'1a`4 P~c~ Z~~2 11r11LP5 5'p~,~/1- <br />from nearest town and ~ <br />approximate elevation) (0 7,5[~ VY1~ L <br />