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.-. • l.[MITEO [MPACi OPERATION 1110•)) <br />RECLAMATION PERMIT <br />APPI[C.AiiON FORN <br />The apoilcatfon for a limited Impact Operation Reclamatlcn Permit contains three maJor <br />parts: (1) the appllcatlon form: (2) E<hiblts A-J: and, ()) the appllcatlon fee. When <br />you submit your appllcatlon, be sure to Include two (2) signed originals of the <br />aopiicatlon form, two (2) copies of Erhlblt; A-J, and a check for the appllcatlon fee <br />described under ()> below. To exoedlte processing, please provide the information in <br />the format and order described 1n this form. <br />..,., ....................................................... r...r.........r.r... ,...r.. r,. <br />GENERAL OPERAi[ON (NFORMAT[ON <br />Type or print clearly, In the space provided, ail Information described below. <br />.rr.r•r..rrrrrr.rr...r.rrr.rrrrr....rv.r..r...rr..r..r...rr...rrrrr.rrr.rrr.rrr..rsaas.• <br />I. Apollcant/operator name: Montrose County <br /> 1.1 Type of organization (corporation, Dartnership, sic.): Government <br />2. Operation name (pit, mine or site name>: 1;1•fl/Nest Paul i`it <br /> 2.1 1.R.S. Tax [0 No. or Secla) Security No. <br />3. Permitted acreage 9.65 permitted acre; <br /> J.1 Appllcatlon fee 1875.00 application fee <br />a. Substance(;) to be mined (e .g., gravel/gold/borrow): Sancl & Grave 1 <br />5. Name of owner of surface of affected land: D LP1 <br />5. Name of owner of subsurface rights of affected land: l3LPt <br />I. Type of mining ooeratlOn: }( Surface _ Underground ~ In-situ <br />8. location Information. The center of the area where the majority Of mining will <br /> occur Ile; in: <br /> COUNTY: tlonCrose <br />FRINr[PAt faERIO[AN (chock one) : _ 5th (Colorado) X 10th (New Mexico) Uts <br />TOWNSHIP (write number and che ck direction) : T 46 North _ <br />SoU`h <br />RANGE (writs number and check direction): R 15 _ <br />_ <br />East We;t <br />SECi[ON (writs number>: S _LZ_ <br />QUARTER SECTION icheck one>: NE X NW <br />SE S'+1 <br />QUARTER/QUARTER SECi[ON (check one): _ ~tE _ <br />NW SE _ <br />X SW <br />GENERAL DESCRIPTION: <br />(mtln5 and direction J..6 miles suuthwesl of Nu~ j <br />g, ro <br />from nearest town and , <br />appr~xlmats sievatlon) 5925 <br />~t.~s of hand Management <br />~pmpangre Basin Resource ATM <br />~ South Townsend Avenue <br />Montroee, Colorado 81401 <br />~~I <br />/ ' ~`'!~ ~~/i~ <br />.~„ ~- . ~ . i/ .,/ ice, _ . ~ _ .. ,_ <br />