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• ~/~ • <br />Sj REGEIVE~ <br />JUN 2 4 1991 <br />LIMITED IMPACT OPERATION (110(2)) Mineo ~.,nc. <br />APPLICATION FORM Reclamation Divisor <br />The Application fora Limited Impact Operation Reclamation Permit contains three major <br />parts: (1) the Application Form. (2) the Application Exhibits A-F, and (3) the <br />application fee. Nhen you submit your Application. be sure to include two sig~ned ~copies <br />of the Application Form, two copies of Exhibits A-F, and a check for the appTica~fon fee <br />described under (4) below. To expedite processing, please provide the information 1n <br />the format and order described in this form. ~y q~_Q 7j <br />as uau aau as aaa a aau usasaaaaaaasa uaaas usu uauuuaa a aaasu au uusaaaaaa uaae uaa <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />aasaaaaaa.....aaaaaaaaaaaaaaaaaaaaaaaaaaaaaa^saaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa <br />1. Applicant/Operator Name: xit Carson County <br />2. Operation Name (Pit, mine or site name): Bohnen Pit <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* 9.9 permitted acres. <br />(S10 x (affected acres) + j25.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. N/n application fee. <br />5. Substance(s) to be mined (e.g., gold/silver/gravel): Sand 6 Gravel <br />6. Owners(s) of Substance to be Mined <br />(chuck applicable box(s)): x Private _ State _ Federal _ Indian <br />7. Owner(:s) of Record of Affected Land <br />(check applicable box(s)): x Private _ State _ Federal _ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): x Surface _ Underground _ In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />occur 'I i es i n: <br />COUNTY: Kit Carson <br />PRINCIPLE c ec one ~ x 6th (Colorado) 10th (New Mexico) Ute <br />TI)WNSHIP (write number and check direction): T s _ North x South <br />R11NGE (write number and check direction): R 45 _ East X West <br />SECTION (write number): S 1 <br />QUARTER SECTION (check one): ~~ NW _ SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE - NW _ SE g SW <br />GENERAL DESCRIPTION: <br />(flllle5 and direction 3 1/4 Miles North of Bethune on County Rd 40, <br />from nearest town and <br />approximate elevation) 1/2 Mile East. Elev 4150-4200. <br />* If the operator is a unit of State or county government, an application fee is not <br />required, l1 fraction of an acre must be counted as one acre for fee calculation. <br />