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IIIIIIII~~IIIIIIIII JUL ?.2 1391 <br />• MIhiE:D LAPJU <br />LIMITED IMP ACT OPERATION (110(2)) RF(.`.14pAAT~(1P~n1\~~"`~~~] <br />APPLICATION FORM <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. When you submit your Application, be sure to include two siggned copies <br />of the Application Form, two copies of Exhibits A-F, and a check for the apTica~fon fee <br />described under (4) below. To expedite processing, please provide the information in <br />the format and order described in this form. <br />__________________________________________ ~. ~U - --------------___-------- <br />--------------------------------------- ------ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: dale L. and Betty L. Trenkle <br />2. Operation Name (Pit, mine or site name): High Flume Gravel Pit <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* 9.8 permitted acres. <br />($10 x (affected acres) + 525.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. 5125.00 application fee. <br />~5. Substance(s) to be mined (e.g., gold/silver/gravel): g ravel <br />6. Owners(s) of Substance to be Mined <br />(check applicable box(s)): x Private a State , Federal _ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): x Private i 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 lies in: <br />COUNTY: La Plata <br />PRINCIPLE c ec one 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 33 x North South <br />RANGE (write number and check direction): R l0 East z West <br />SECTION (write number): 14 S 14 _ <br />QUARTER SECTION (check one): ~~ NW x SE <br />~ <br />- SW <br />QUARTER/QUARTER SECTION (check one): - NE NW x SE SW <br />GENERAL DESCRIPTION: <br />(miles and direction 14 miles S of Durango <br />from nearest town and <br />approximate elevation) 6535' <br />* If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation. <br />