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<br />t <br />i <br />L~ <br />Form 2920-1 UNITED STATES <br />(Noce tuber 1977) DE PARTAIE NT OF THE INTERIOR <br />BUREAU OF LAND AfA NA GEAIENT <br />TEMPORARY USE APPLICATION AND PERMIT <br />Title I, Sec. 28(e) of the Ali ne rat Lrasing Act of 1920.30 U.S.C. 185, as amend- <br />ed;Sres.302(b)and 504(a)o[ P. L. 94-579. October 21,19%6,43 U.S.C. 1732,1764. <br />APPLICATION <br />c <br />FORM1t APPROVED <br />Oh1B NO. 47-R0996 <br />i' <br />i , <br />1 <br />i <br />I <br />I <br />Serial Number <br />co-o3o-ru-76-6 <br />INSTRUCTIONS ON REVERSE <br />Name (lirsf, middle initial, and !nslJ I Address (include zip code) <br />Colorado lJestmoreland Inc. ~ P. 0. Box E, Paonia, Colorado 8]423 <br />2. Give legal description of public lands for which you are appl}•ing <br />T 011~SHIP RA1:GE SECTION 'I SUBDIVISION <br />PART of the SEI; of Section 24, T.13 S., R. 92 W., 6th P.M., Beginning at a point fl <br />which the SE 1/16 corner of said Section 24 bears 5.86°23'17"E. 50 0 feet; thence 1 <br />Wing along a subdivision line IJ.86°23'17"W. 750.0 feet; thence S 5°30 00"4J. 650.0 ~- <br />thence 5.86 23'17"E. 223.52 feet; thence 162.21 feet along the arc of a curve to tl_ <br />right, said curve having a radius of 150.0 feet and a chord bearing 5.27'2]'59"E 1!~~ <br />feet; thence 5.86°23'17"E. 92.65 feet; thence N.5'30'00''E. 132.74 feet; thence S. Etr <br />E. 300.0 feet; thence N.5°30'00"E. 650.0 feet to the point of beginning, said parc(•1 <br />containing 11.59 Acres net. <br />Alrridian Slate County Acres (n vmGer) <br />6th P.M. Colorado Delta ]1.59 <br />3. Proposed date(s) of use: From January ]5, 1982 to January ]5, 1985 <br />4a Are }•ou 21 years of age or over? I b Are you a citizen of the knit ed States or have }•ou decl <br />1'es ~ ] No N/A your intention? ~~ )'es CI No J1/A <br />As applicant, are you a L~ Partnership C Association ®Corporalion; ~. lndividual(s); <br />c. <br />or an agency of [] Federal Government ~ Stale Government [] Political subdivision of an}• state? <br />d. Are the statements re wired by Instruction Number 2 attached? '~' Yes No Not a llcabl See <br />5. Are you making this application for your own use and bene(ity [Y] 1'es C No (1/ "no," e.rp/ain) <br />6. Are the lands now improved, occupied, or used? rR: 1'es ~,~ No (I/ "yrs," drscriGr improurrr,rnrs cnd pi <br />purrs. +dfrll!!1'LSCrS nr>d orrr,/,nnrs) A portion of the land covered by this application is <br />subject to an overhead electric powerline right-of-way ;"C-23960-RW issued to Delta <br />J•tontrose Rural Powerline Association exclusively for electric service of the Orchar:; <br />Valley J-0ine. These are the only improvements on this land. The land use proposed <br />on this application will not affect any of these existing improvements. <br />ia. 1l'hat do you propose to use the ]ands for? <br />These lands will be used for mine waste refuse disposal. <br />See Exhibit A. <br />b. l';ha; Ic.prove-.ents. includrng sans: at ion facilities, do you intend to make? (1)rs cri l~r irpror en,rn/s r...d r. ~: •• <br />drf.:.:<AS. .1 r'.r]r-irfnL <br />r~D'IC <br />RT~at is the estimated ~ d. li nat is the proposed source of water for dor-estic or other uses? <br />e. cost of pro, osed ir..prove- ~ <br />menu 5 lJ/A ~ JJ/A <br />S. Have you enclosed tiling fee of 510? ~_~ 1'es _ No lSrr lnsrrra7ion \UmUfr i) fJ/A <br />1 CER71F 1" That the information given by me in this application is true, complete, and correct to the bey; r: <br />know ledge and belief and is given in good faith. <br />.n.,.n- n.. .._i~ ii ra.._i.e .~ .. _. .. <br />