PERMFILE103425

• Permit No: M1987040
• IBM Index Class Name: Permit File
• Doc Date: 3/4/1987
• Doc Name: LIMITED IMPACT OPERATION 110 APPLICATION FORM
• Media Type: D
• Archive: No

~~ ~ III IIIIIIIIIIIIIIII ~ ~~~~~~~®
%~ MAR Od i987
CiG~vdE.Peia~v /// rc, //~ MINED LAND
LIMITED I14PACT OPERATION (110) RECLAMATION DIVISION
APPLICATION FORM
This form contains two major parts: (1) General Operation Information and (2) Exhibits
A-G. When you submit your application, be sure to include two signed copies of the
General Operation Information, two copies of Exhibits A-G, and a c e k for the
application fee described under (4) below. To expedite processing, please pro vi a the
information in the format and order described in this form. ~
________________________________________________________________m =~~=_~~--_--~?_____
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
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1. Applicant/Operator Name: Southway construction co.
2. Operation Name (Pit, mine or site name): costilla Pit
3. Application type: Limited Impact Operation (110).
4. Application Fee (E10 x (affected acres) + b25.00).* 9.~ affected acres.
Note affected acreage and application fee and
attach a check for this amount when you file. ~i25.oo application fee.
5. Substance(s) to be mined (e. g., gold/silver/gravel): sand E Grave]
6. Owners(s) of Substance to be I4ined
(check applicable box(s)): Q,rPrivate ^ State ^ Federal ^ Indian
7. Owner(s) of Record of Affected Land
(check applicable box(s)): ~ Private ^ State ^ Federal ^ Indian
8. Type of Mining Operation
(check applicable box(s)): ^ Surface ^ Underground ^ In-situ
9. Location Information. The center of the area where the majority of mining will
occur lies in:
COUNTY:
PRINCIPLE MERIDIAN (check one): _fittLlColorado) 10th (New Mexico) Ute
TOWNSHIP (write number and check direction): T 1 (~ North ^ South
RANGE (write number and check direction): R ~~ ^ East F,~x West
SECTION (write number): S
QUARTER SECTION (check one): ^ NE E,ZXNW ^ SE ,~C,~ SW
OUARTER/QUARTER SEC7ION (check one): ~ NE ^ NW ~ SE ^ SW
GENERAL DESCRIPTION:
(miles and direction One halr (191 mile Fact of Garria
from nearest town and
approximate elevation) seJ.er~ do ~,
~~n f Pr MS1._
* If the operator is a unit of State or county government, an application fee is not
required. A fraction of an acre must be counted as one acre for fee calculation,