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• III IIIIIIIIIIIII~II • n•-•--•x.'111 <br />' r!o~~ `? s 1993 <br />LIMITED IMPACT OPERATION (110(2)) <br />RECLAMATION PERMIT ~ . <br />' APPLICATION FORM "`~ ~ - <br />The application for a Limited Impact Operation Reclamation Permit contains three major <br />parts: Cl) the application form; (2) Exhibits A-J; and, (3) the application fee. When . <br />' you submit your application, be sure to include two (2) signed 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. To expedite processing, please provide the information in <br />' the_format_and-order-described_in_this_form_-_-----_- - <br />GENERAL OPERATION INFORMATION <br />' Type or print clearly, in the space provided, all information described below. <br />1. Applicant/operator name: BACA COUNTY BOARD OF COUNTY COMMISSIONERS <br />' 1.1 Type of organization (corporation, partnership, etc.): COUNTY <br />t 2. Operation name (pit, mine or site name): WEEDEN PIT 1130 <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />' 3. Permitted acreage 9.9 permitted acres <br />3.1 Application Fee 5875.00 application fee <br />' 4. Substance(s) to be mined (e.g., gravel/gold/borrow): G R AyEL <br /> S. Name of owner of surface of affected land: WEEDEN LAND do CATTLE CO. <br />' <br /> 6. Name of owner of subsurfac e rights of affected land: WEEDEN LAND & CATTLE CO. <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 />000NTY: PROWERS - <br /> <br /> PRINCIPAL MERIDIAN (che ck one): X 6th (Colorado) 10th (New Mexico) <br />Ute <br />' TOWNSHIP (write number and check direction): T 27 _ <br />North X South <br /> RANGE (write number and check direction): R 44 _ East X West <br /> SECTION (write number): S 21 <br /> QUARTER SECTION (check one>: WC SECTIONS ARE <br />J NE Nl•1 X SE <br />SW <br />' QUARTER/QUARTER SECTION _ <br />(chec one) FFECTED NE X ~ <br />NW SE SW <br /> GENERAL DESCRIPTION: and NE1/45W1/4 <br /> (miles and direction I MILE EAST AND 9; N4[LES NORTH OF <br /> from nearest town and <br /> approximate elevation) TWO BUTTES. COLORACO <br /> <br /> <br />1 <br />