REV98584

• Permit No: M1994005
• IBM Index Class Name: Revision
• Doc Name: EXHIBIT A LEGAL DESCRIPTION
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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Appendix A.
' APPLICANT'S QUESTIONNAIRE TO THE COLORADO DIVISION OF WILDLIFE
'For Limited Impact Operations
(Permit 110-1 and 110-2) or
' Regular Operations Permit 112)
Instructions to the applicant: Complete both sides of this form. Send the
comp e e orm o e appropria a Division of Wildlife (DOW) Regional Manager.
' Regional Managers:
NW Region: 711 Independent Avenue Grand Junction, CQ 81505
NE Region: 317 W. Prospect Avenue Ft. Collins, CO 80526
' Central: 6060 Broadway Denver, CO 80216
SW Region: 2300 S. Townsend Avenue Montrose, CO 81401
SE Region: 2126 N. Weber Colorado Springs, CO 80907
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described in this form. Type or print clearly. Incomplete questionnaires will be
returned. Please allow 30 days for processing of completed form. Your cooperation
' is appreciated.
' PLEASE ATTACH THE FOLLOWING INFORMATION TO THIS FORM:
A. Mining and Reclamation Plan: Description of proposed reclamation plan or
' submit Mining and Reclamation Plan as prepared for MLRD application.
B. Ma s: Submit copies of maps for the both the Mining Plan and the Reclamation
~. Suggested maps are those prepared for the MLRD application.
' For the 110-1 Permit, Two Acre Limited Impact Operation: Exhibit A - Location
Map Exhibit C - Affected Lands Map.
For the 110-2 Permit, Limited Impact Operation: Exhibit E - Mining Plan Map
' and Reclamation Plan Map.
For the 112 Permit, Regular Operation: Exhibit C - Pre-Mining and Mining Plan
Map(s) of Affected Lands, and Exhibit F - Reclamation Plan Map.
1. Operation name (pit, mirte): colons Gravel PIt
' 2. Application type (check one): Two Acre~Limited Impact Operation. (110-1)
Limited Impact Operation (110-2)
x Regular Permit Operation (112)
' 3. Name Of applicant/Operator: United Companies of Mesa County, Inc.
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Addre55: p. 0. Box 3609 Grand Junction, CO 81502
Phone Number: [phone]
4, Name of contact person (if different from above): Paul E. McGehee
Addre55: p. 0. Box 3609 Grand Junction, CO 81502
Phone Number: [phone]
' S. LoCatiOn Of mine: Montrose County SW'~L, SFSt, Section 36, Range 9W Township 48N, New Mexico
(County, Township, Range, Section to nearest quarter quarter eridian
' (OVER)
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