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~~~~d~~ <br />APR ~ 198 <br /> <br />LIMITED IMPACT OPERATION (110) <br />APPLICATION FORM <br />MlI~e6 Lfi~~ <br />FiECl.Al9~9~, r ION UIVISiOrv1 <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you submit your application, be sure to include two siggned copies of the <br />General Operation Information, two copies of Exhibits A-G, and as c>Teck for the <br />application fee described under (4) below. .To expedite processing, please provide the <br />information in the format and order described in this fonn_ fi.~,a~~ ~ j~5 dC~__C~y)~ <br />----------------------------- ---------- <br />GENERAL OPERATION INFORh1ATI0Pl <br />Type or print clearly, in the space provided, all information described below. <br />----------------------------------------------------------------------------------------- <br />----------------------------------------------------------------------------------------- <br />1. Applicant/Operator Name: <br />2, Operation Name (Pit, mine or site name): Hawks Pit <br />3. Application type: Limited Impact Operation (1101. <br />4. Application Fee for Permitted Acreage* 9.75 permitted acres. <br />(E10 x (affected acres) + E25.00).* <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/silver/gravel): Gravel <br />• 5. Owners(s) of Substance to be Mined Skelton, Inc. <br />(check applicable box(s)): ® Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land Skelton, Inc. <br />(check applicable box(s)}: fX1 Private ^ State ^ Federal ^ Indian <br />S. Type of Mining Operation Gravel pit. <br />(check applicable box(s)): ® 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: Montrose <br />PRINCIPLI= MERIDIAN check one ^ 5th (Colorado) ® 10th (New Mezico)^ Ute <br />TOWNSHIP (write number and check direction): T 45 ® IJorth ^ South <br />RANGE (write number and check direction): R ]3 ^ East ® West <br />SECTION (write number): S l3•• <br />QUARTER SECTION (check one): ^~~ © NW ^ SE ^ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ N4J ® SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction ~ 3.5 miles northeast of Norwood, Colorado <br />from nearest town and <br />approximate elevation) 7.300 feet ap proximate elevation <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 />