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~ ~ RE~EIVEI~ <br />LIMITED IMPACT OPERATION (110(2)) OCT 0 5 1992 <br />RECLAMATION PERMIT <br />' APPLICATION FORM "" " <br />MINERALS ~ Gt~~,~ ~. , <br />The application for a Limited Impact Operation Reclamation Permit contains three major <br />' parts: (1) 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 (Z) 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-9n-this form^-------n------- - <br />GENERAL OPERATION INFORMATION <br />' -----Type or print clearly, in the space provided, all information described below. <br />' 1. Applicant/operator name: Western Gravel, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />t 2. Operation name (pit, mine or Site name): South D-20 Pit <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br /> <br /> <br />t <br />1 <br />Permitted acreage <br />3.1 Application Fee <br />9.99 permitted acres <br />5875.00 application fee <br />4. Substance(s) to be mined (e .g., gravel/gold/borrow): Sand and Gravel <br /> Uncompahgre Valley Water <br />5. Name of owner of surface of affected land: Users Association <br /> Uncompahgre Valley Water <br />6. Name of owner of subsurface rights of affected land: Users Association <br /> 1~9- 3'13 <br />7. Type of mining operation: X Surface _ Underground _ In-situ <br />8. Location Information <br />occur lies in: <br />1 <br /> <br /> <br /> <br /> <br />The center of the area where the majority of mining will <br />COUNTY: Montrose <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) X 10th (New Mexico) _ Ute <br />TOWNSHIP (write number and check direction): T 48 X North Sout:~ <br />RANGE (write number and check direction): R 9 East X West <br />SECTION (write number): S 17 _ <br />QUARTER SECTION (check one): PIE ~ NW _ SE S++ <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW X SE _ S:. <br />GENERAL DESCRIPTION: <br />(miles dnd direction Approximately 2.7 Miles South-Southwest of <br />from nearest town dnd Montrose; Approximately 6,112 Ft. Elevation. <br />approximate elevation) <br />i <br /> <br />