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ii iiiiiiiiiiiuiii ~ <br />LIMITED IMPACT OPERATION (110(2)) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />~~~t~~~~ <br />APR 2 01992 <br />Mined Land <br />Reclamation ~~uiS;or <br />The application for a Limited Impact Operation Reclamation Permit contains three major <br />parts: <.1) the application form; (2) Exhibits A-J; and, (3) the application fee. When <br />you submit your application, be sure to include two (2) sieved originals of the <br />application form, two (2) copies of Exhibits A-J, and a check for the application fee <br />described under (3) below. 7o expedite processing, please provide the inf ~mation in <br />the format and order. descrl bed 1 n this form. ,rye , ~~ , y 1 L~6 7 <br />vav-av~avaaaaaaaaaaa-vvvavvaavvavvavvaaaaaavvaa-=avv~avvvv~a avvaaa v- aaasvvava--aaavvsaa <br />GENERAL OPERATION INFORMATION <br />type or print clearly, in the space provided, ail information described below. <br />avvvvvvaavaaaaaaaaaaavvvavvavvvvaaaavaavsaavvaavaavvaaavaavvavvaaaaavvvvvsvaavaavvaaavsva <br />1. Applicant/operator name: Peck, Inc. <br />2 <br />3 <br />4 <br />5 <br />6 <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />Operation name (pit, mine or site name): Peck Pit <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />Permitted acreage <br />3.1 Application Fee <br />Substance(s) to be mined (e.g., gravellgoid/borrow): <br />Name of owner of surface of affected land: <br />Name of owner of subsurface rights of affected land: <br />8 permitted acres <br />5875.00 application fee <br />Gravel <br />Nick Peck S Allan Walz <br />Nick Peck 6 Allan Walz <br />7. Type of mining operation: x Surface _ Underground In-situ <br />8. Location information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY : Ouray ' <br />PRINCIPAL MERIDIAN (check one>: 6th (Colorado) x 10th (New Mexico> Ute <br />TOWNSHIP (write number and check direction): T ~ X North _ <br />South <br />RANGE (write number and check direction): R ~ _ East ~_ West <br />SECTION (write number): S ~ <br />QUARTER SECTION (check one): NE _ NW SE x SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW x SE _ SW <br />GENERAL DESCRIPTION: <br /><miles and direction 5 Miles North of Ouray, Co. <br />from nearest town and <br />approximate elevation) 7200 feet <br />