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III IIIIIIIIIIIIIIII ~ ~~~~ivE® <br />LIMITED IMPACT OPERATION (110(2>) JUL 0 8 199: <br />RECLAMATION PERMIT <br />APPLICATION FORM Mined Land <br />ReCI mati n Divisi n <br />The application for a Limited Impact Operation Reclamation Permit conta~ ns ~ree ma~or <br />parts: (1) the.applicatton 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 (2) copies of Exhibits A-J, and a check for the application fee <br />described under (3) below. To expedite processing, please provide the infor ation 1n <br />the format and order described in this form. //2~ i _ __o_ S ___ <br />CY- ~ C C Q ~J <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all Information described below. <br />1. Applicant/operator name: Jack Gilleland, C & J Gravel Products <br /> <br /> 1.1 Type of organization (corporation, partnership, etc.): Corporation <br /> <br />2. Operation name <pit, mine or site name): Ignacio Pit ' <br /> <br /> 2.'I I.R.S. Tax ID No. or Social Security No.: <br /> <br />3. Permitted acreage 4 permitted acres <br /> 3.'I Application Fee b875.00 application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): rra~Pi <br /> <br />5. Name of owner of surface of affected land: rP~;i Hanry R wairPr Reim <br /> <br />6. Name of owner of subsurface rights of affected land: r r;l Hanry R waltar Riimn <br /> <br />~1. Type of mining operation: X Surface _ Underground _ In-situ <br />8. Location information. The center of the area where the majority of mining will <br /> occur lies 1n: <br /> COUNTY: La Plata: <br /> PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br /> TOWNSHIP (write number and check direction): T ~Z X North South <br /> RANGE (write number and check direction): R 7 _ East X West <br /> SECTION (write number): S 16 <br /> QUARTER SECTION (check one): NE NW X SE SW <br /> QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE X SW <br />GENERAL DESCRIPTION: <br />(miles and direction 8 miles South of Ignacio Co., I/4 mile West of SH <br />from nearest town and <br />approximate elevation) 172. Elevation Approximately 6200 Ft. <br />