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~~~ '• • III IIIIIIIIIIIIIIII • <br />RECEIVED <br />MAY 05 1987 <br />LIMITED Ih1PACT OPERATION (110) <br />RECLAMATION DIDISION <br />APPLICATION FORJo <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-G. 41hen you submit your application, be sure to include two signed copies of the <br />General OpE~ration Information, two copies of Exhibits A-G, and aleck for the <br />application fee described ~!nder (4) below. To expedite processing, please provide the <br />information in the format and order described in this form. /~ -'77~• <br />__________"__________________________________________________~__~ Z==S.J_L~'===________ <br />GENERAL OPERATICEI INFORJdATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: City of Lamar, a Municipal Corporation <br />2. Opera*.~^n Name (Pit, mine or site name): Lamar Industrial Park Gravel Pit <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* q,g29 permitted acres. <br />(510 x (affected acres) + 525.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. $125.00 application fee. <br />5. Substance(s) to be mined (e. g., gold/si~der/gravel): sand and Gravel <br />>. Cwners(s) of Substance to oe Joined X *i;;nicipal <br />(check applicable box(s)): ^ Private ^ State ^ Federal ^ Indian . <br />7. Owner(;) of Recor~' of Aff~r-ted Land X Municipal <br />(check applicable box(s)): ^ Private ^ State ^ Federal ^ Indian <br />8. Type o' Joining Operation <br />(cher~ applicable r`~;;;_11: ~ Surface c7 Underground ^ In-situ <br />9. Location Information. Tl~e center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Provers Count <br />PRINCIPLE MERIDIAN check one ® 6th (Colorado) ^ 10th (New Mexico)^ Ute <br />TOWNSHIP (write number and check direction): T 22 ^ North ® South <br />.. Rl~NGE (write number and check direction): R ~ ^ East ® West <br />SECTION (write number): 5 <br />79 <br /> <br />QUARTER SECTION (check <br />one): - <br />- <br />^ NE <br />^ NlJ ^ SE <br />~ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ N4J ® SE ® SW <br />GENERAL DESCRIPTION: <br />(rtiiles and direction . Location is xi thin the City Limits of the <br />from nearest town and <br />approximate elevation) City of Lamar. Elevati on ~s ';606. <br />* If the operatur is a unit of State or county gova~~~;~~,~..~, an application fee is not <br />required. A fraction of an acre must be counted as one acr~.for fee calculat?^^. <br />u;: <br />,.~`' <br />#: .:. <br />164- <br />