PERMFILE102887

• Permit No: M2000084
• IBM Index Class Name: Permit File
• Doc Date: 6/28/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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6. Name of owner of the subsurface ri hts ofaRected land: Chris Aaegeson
7. Nameo[ownerofthesurfaceofaRectedland: Chris Aaegeson
7.1 Names of the holders of any recorded eazements on the affected land:
8. Tvoe of minin¢ operation: ~_ Surface Underground In-situ
9. Location information: The center of the area where the majority of mining will occur:
COUNTY: Washington
PRINCIPAL MERIDIAN (check one): ~_ 6th (Colorado) 10th (New Mexico) Ute
SECTION (write number): g ~_
TOWNSHIP (write number and check dveaion): T r ~_ North South
RANGE (write number and check direction): R ~~ _ Eazt ~ West
QUARTER SECTION (check one): _ NE _ N W ~ SE _ SW
QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE ~_ SW
GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation):
r
10. Primarv future (Post-mioinQl land use (check one
Cropland(CR) _ Paztureland(PL)
~, Rangeland(RL) _ Forestry(FR)
Residential(RS) _ Recreation(RC)
_ Developed WaterResources(WR)
l 1. Primarv present land use (check one!:
_ Cropland(CR) _ Paztureland(PL)
~ Rangeland(RL) _ Forestry(FR)
Residential(RS) _ Recreation(RC)
_ Developed Water Resources (WR)
_ General Agricuhure(GA)
WildlifeHabitat(WL)
_ IndustriaVCommercial(1C)
SolidWazteDisposal(WD)
_ General Agriculture(GA)
WildlifeHabitat(WL)
IndustriaVCommercial(IC)
_ Mining (MN)
12. !(this operation will use designated chemicals, or will result, or presently haz acid mine drainage -you cannot use this application form. You must
submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming
materials, exposed or disturbed az a result of the mining operation, and whether the operation will result in or presently has acid mine drainage:
13. Description of Amendment or Conversion;
if you are amending or convening an existing operation, provide a brief narrative describing the proposed change(s):