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- ~ ~ iii iiuii~iiiiii iii i <br />999 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AIVD GEOLOGY <br />~ Nyt <br />Dr <br />anment <br />ral Re <br />rc <br />5 <br />, <br />. p <br />oou <br />e <br />o RECD IVED ~ <br /> ; , ~ ~ ,, , <br />131; ShNrman St.. Rnom 115 ,~1 I ^: E R r\ L S <br />Drnv?r, Colorado BO'_03 FEB 18 1999 <br /> <br />Phone 1101195o-355: G E O L O G Y <br />FAIL: (303i 23'_-8105 <br />OiYision or Minerals & GeOb~y ,_-r <br /> CONSTRUCTION tiIATERIALS s i o,.°~• <br /> <br />RECEIVED r.,,•,~,o„r <br /> SPECIAL(lll)OPERATION Gre_E :vaicher <br />FEB 18 1999 E+ecmr:e O~recor <br /> RECLAMATION PERMIT APPLICATION FORM >nahael a [nog <br /> <br />of Minetals 8 Geobq~t <br />Divts[on <br />o„e<,~, <br />The application for a Construction Ntaterials Special l I 1 Operation Reclamation Permit contains four major parrs: (I) the application form; <br />(2) Exhibits A-L, Addendum I, and any sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as required by the Once, and outlined in <br />Rules 6.1, 6.2, 63, 6.5, and 1.6.'_(I)(b); (3) the application fee; (4) the Performance Warranty and if required a Financial Warranty. When <br />you submit your application, be sure to include one (I) completed, sieved and notarized fVORY ORIGINAL and one (I) copy of the <br />completed IVORY application form, two (2) copies ofExhibits A-L, Addendum 1, appropriate sections of Exhibit 6.5 (Geotechnical Stability <br />Exhibit), as required, a check for the application fee described under (4) below, and the fully executed Performance Warranty and Financial <br />Warranty, if required. Exhibits should NOT be bound or in 3-ring binders; maps should be folded to 8 '/:" l l" or 8'/:" X Id" size. To <br />expedite processing, please provide the informarian in the format and order described in this form. ~~~.~['~ ~ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. AuplicanVooerator or comoanv name (name to be used on the oermitl: <br />L)mlan-Ri chey~~oraY.~on .- -_ <br />1.1 Type of organization (corporation, partnership, etc.): 1`.nrtprati nn <br />1.2 [.R.S. Tax ID No. or Social Security Number: <br />2. aeration name (pit, mine or site namel: Cram Pit <br />3. Permitted acreaee: 3o Permitted Acres <br />4. New Application: 25.00 Application Fee <br />S. Primary commoditie(sl to be mined: ~~ <br />6. Name of owner to the surface of sRected land: John Crai r~ III <br />6.1 Names of the holders of any recorded easements on the affected land: <br />7. Name of owner to the subsurface rights of affected land: John Cram III <br />8. Type of minim operation: X Surface _ Underground _ In-situ <br />9. Location information: The center of the area where the majority of mining wilt occur: <br />COUNTY: Lincoln <br />PRINCIPAL MERIDIAN (check one): ~_ 6th (Colorado) _ IOth (New Mexico) <br />SECTION (write number): <br />TOWNSHIP (write number and check direction) <br />RANGE (write number and check direction): <br />QUARTER SECTION (check one): <br />S~ <br />T 2 _ Narth X $ou[h <br />R 56 _East X West <br />_NE X NW ~S~x SW <br />U to <br /> <br />QUARTERIQUARTERSECTlON (check one): _ NE X N W _ S~ SW "F~,,,.,,,.L.,~„~ ~GS- <br />GENERAL DESCRIPTION: (miles and direction From nearest town and~h e elevation) """"'"'""11''~~''__ <br />2,5 mile SW Limon Elevation 520 <br />