PERMFILE119848

• Permit No: M2002094
• IBM Index Class Name: Permit File
• Doc Date: 3/28/2002
• Doc Name: Application Form Faxed from Durango
• From: Rio Blanco County
• To: DMG
• Media Type: D
• Archive: No

04/01/02 MON 15:38 FAX [phone]
Minerals & Geolot3s G Jct
,. ~
004
6. Nrme of owner of tutwu ace riehn of aflectcd land; - +/ ~^"" " "'
If 2 or more owuets. 'rufcr to Exhibit O".
7. Mame of owner of nurfuse nP affected land: ~C ~D L>Q~ D A M p'4~Y
7.1 Names oC Wes holders of any recorded casements oo the affected land:
B. Tvne oC m' in a oration: ~ Surface Uttderrlouud
9. I.ocatton Information: Tha oenter of the aeea whets the majority of mining will occur:
COUNTY: ~2- A
PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) _ 10th (Nativ Mexico) , Ute
SECTION (write atrmber): 5
TOWNSHIP (write mrmhar and check direction): T q~ ~ North ?~ South
RANGE (write number and chak tiirectioa]: R ~_ ._ East ~ west
QUARTER SECTION (check one): _, NE _ NW _ SE ~ SW
QUARTER/QUARIFRRSECIION (check oue): ~. NE _ NW ~ SE _ SW
GENERAL DESCRIPTION: (the atrmber of miles and ditwtion from the neaten[ town and the approximate elevation):
10. Prhoarv Rmre tPtat~tLning~tnd ate fche~tt anel:
_ CroplaQd(C1Q _ Nasturelnod(PL)
RmmBa4wd(RL) ~ Fonstry(F'R)
_ Residrntial(RS) _ Recreation(RC)
Devetoped Water Resanrees(WR)
I1. Primary nrresent land uae (check oeel:
Croplami(CR)
Rangalaod(RL)
__ Paslorcland(PL)
Fomhy(FR)
_ Resitieonal(RS) _ Rtxrcation(RC)
Developed water Resonnces{VVR)
_ Ganetnl Agrianlttac(GA)
~. WildlifeHabitat(WL)
_ Indusnial/Commacial(IC)
SolidWastcDispasal(WD)
General Agdcttltttre(GA)
~. Wildlife Habitat(WL)
Ind»sviaVCotnmercisl(IC)
12. MethodoCMini,~; Briefly~tplamtniningmethod(e.g.muk/shove~: L.0~437~Z ~~ T12~7G~
13. On Sitc Prxettina; ~ Crashing/Saecaiag
13.1 Briefly axp(ain mmigg method (a.g_ ttuck/shovep; G tZtJ 5 YF ow) S ITS
List any designated chemicals ur ncit!-producing matC[78L1' ro be used or stared within permit arcs: N O/~( ~