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J .f <br />OMB NO. K2-RI S]D <br />DEPARTMENT OF THE INTERIOR ' APPLIUTION FOR flneiulp pnlP pnsl <br />I LV. <br />FLRN. WILDIJFR <br />Yk:RV,CE U <br />S <br />FISN AND N'IIOIIFE SENYICE <br />special purpose mis <br />. <br />. <br />. <br />~ ^ IMPORT OR E%PORT LICENSE Ln, ~ PERMIT <br />j <br />+~ FEDERAL FISN AND WILDLIFE ~J <br />LICENSE/PERMIT APPLICATION 2. BRIEF DESCRIPTION OF PCT( VITY FOR wNICN REQUESTED LICENSE <br />OR PERMIT IS NEEDED. <br />° ? <br />~ An active Swainson's Hawk (BUteo <br />I <br />'•....,,..~°~ swainsoni) nest is located in a tall <br /> br <br />sh clum <br />which is in the dir <br />ct <br />A <br />P p <br />u <br />e <br />P <br />3. <br />LICANT. fFp.•, cpRplpM Nem.•ne <br />Pkpn. np.e.. pl ,ne•.,ep.l. <br />Avpin•pp, ynrcP,p,iprt.nnoR fs .kl.A pp.R;, i. rpp•.ISd1 <br />path of topsoil stripping and pit dev <br />Forrest Luke opment. Trapper requests approval to <br />Manager of Environmental Affairs cate the nest after young have fledge <br />Trapper Mining Inc. from it. The nest area is currently <br />P.O. Box 187 flagged off and no activity is per- <br />Craig CO 81626 mitted in the vicinity. <br />l IF "APPLIGNT•' IS AN INDIVIDUAL. COMPLETE THE FOLLORING~ S IF "APPLIGNT" IS A BUSINESS. CORPORATION. PUBLIC AGENCY. <br />OR INSTITUTION, COMPLETE THE FOLLOMING: <br /> HEIGHT NEIGIT E%PUIN TYPE OR KIND OF 9,SINE55, AGENCY. OR INSTITUTION <br />^NR. ^MRS. ^Mlss ^MS. Surface coal mining operation oper- <br /> <br />DATE OF BIRTH COLOR HAIR c'o LOa EY PS ating under environmental permits <br /> issued by the Colorado Office of <br />PHONE NUMBER MHERE pkPLOYEO ( SOCIAL SECURITY NUMBER Mined Land Reclamation and the federa <br />I1 Office of Surface Mining. <br />OCCUPATION <br />AMY BUSINl11, AGENCY. OR INSTITUTIONAL AFFILIATION HAVING NAME, TITLE. AND PHONE NUMBER OF PRESIDENT. PRINCIPAL <br />TO 00 wITN THE RILOLIFC TO BE COVERCp BY THIS UCENSE/PERMIT OFFICER. DIRECTOR. ETC. <br /> James D. Edqerley, President <br /> IF "APPLIGNT" IS A CORPORATION, INOIGTE STATE IN wN1CM <br /> iNCORPORATCD <br />S. LOUTON MMERE PROPOSEp ACTIVITY IS TO CE CONDUCTED T. DO YOU NOLp ANY CURRENTLY VALID FlOERAL FlSN ANp <br /> WILDLIFE LICENSE OR PCFlII TI ^ VES ~ NO <br />Trapper Mine located 6 miles south °fP•••°•"~`•°••°'P•°"ns°•^' <br />of Craig, Moffat County, Colorado, <br />specifically in Hawken Pit <br />Northin 41O 4S6 <br />LI ~ , S~ IF REQUIRED BY ANY STATE OR FORlIGN GOVERNMENT, DO YOU <br />NAV <br />THEIR APPRO <br />A <br />O CO <br />D <br />CT TH <br />ACT <br />I <br /> <br />Eastinq: 1,423,742 V <br />N <br />TV <br />E <br />L T <br />U <br />E <br />TV YOU <br />PROPOSET ^YES ^NO <br />Elevation: 6735 rlf P••. f:."°"•~:"'°"• •.e nw ^f ep....n,.l <br /> N/A <br />9. CERTIFIED CHECK OR MONEY ORDER (:f pPPlicpll•) PAYABLE TO t0. DESIRED EFFECTIVE It. IXIRATION NEEDED <br />THE U.S. FIRM AND NILOLIFE SERVIC! ENCLOSED IN AMOUNT OF DATE <br />25.00 7/1/93* Three years <br />~ <br />12 ATTACHMENTS. THE SPECIFIC INFORMATION REQUIRED FOR THE TYPE OF LICFNSE/PERMIT REQUESTED !S^^ JO CPR lJ.f ](0)I MUST Bt <br />ATTACHED, IT CONSTITUTES AN INTEGRAL PART OF THIS APPLIGTION. LIST SECTIONS OF SD CFR UNDER MIICN ATTACHMENTS ARE <br />PROVIOEO~ <br />I <br />CERTIFICATION <br />I HEREBY CERTIFY THAT 1 HAVE READ AND AY FAMILIAR MITH THE REGULATIONS CONTAINED IN TITLE W, PART 17, OF THE CODE OF FEDERAL <br />REGULATIONS AND THE OTHER APPLIGBLE PARTS IN SUBCHAPTER B OF QIAPTER I OF TITLE 50, AND I FURTHER CERTIFY THAT THE INFOR- <br />YAnON SUBMITTED IN THIS APPLIGTR7N FOR A LICENSE/PERMIT IS NYPLETE AND ACNRATE TUJ THE BEST OF YY KNOWLEDGE AND BELIEF. <br />I UNDERSTAND THAT ANY FALSE STATEMENT HEREIN MAY SUBIECT YE TO THE CRIMINAL PENALTIES OF 18 U.S.C. 1001. <br />SIGNATURE (In iafl ~ DATE <br />~ <br />~- <br />~v ~ <br />ir <br />I 3 <br />~1- <br />'e lo- <br />e,=,°;, *Or as soon after 7/1/93 as all young have fledged. ~••'~•••-•• <br />