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~ ___ ~ECE11/ED ~uN z u )390 LIMITED IMPACT OPERATION APPLICATION FORM MINED LANL' (110(2)) REri AMPT~nN niv~~~ • The Application fora Limited Impact Operation Reclamation Permit contains U~ree major parts: (1) the Application Form, (2) the Application Exhibits A-F, and (3) the application fee. When you submit your Application, be sure to include two si ned copies of the Application Form, two copies of Exhibits A-F, and a check for the app rca ion fee described under (4) below, To expedite processing, please provide the information in the format and order described in this farm. /YI. y~)-~~ L~~ 1 3a~5 GENERAL OPERATION INFORMATION ~ `~O'~~ ,7t'ia~ ~v - Type or print clearly, in the space provided, all information described below. 1. Applicant/Operator Name: CARDER, INC. 2. Operation Name (Pit, mine or site name): AART._ 3. Application type: Limited Impact Operation (110). 4, Application Fee for Permitted Acreage* 9.99 permitted acres. (S10 x (affected acres) + E25.00).* Note permitted acreage and application fee and attach a check for this amount when you file. 5125.00 application fee. 5. Substance(s) to be mined (e.g., gold/silver/gravel): GRAVEL 6. Owners(s) of Substance to be Mined (check applicable box(s)): ~ Private _ State _ Federal _ Indian 7, Owner(s) of Record of Affected Land (check applicable box(s)): x Private _ State _ Federal _ Indian 8. Type of Mining Operation (check applicable box(s)): x Surface _ Underground _ In-situ 9. Locat.ton Information. The center of the area where the majority of mining wil l occu r• 1 i es i n: COUNTY: ' BENT PRINCIPLE ec one (Colorado) 10th (New Mexico) Ute TOWNSHIP (write number and check direction): T z2 North x South RANGE (write number and check direction): R as -' East x West SECTION (write number}; S 3z QUARTER SECTION (check one): -RE- NW x SE x SW QUARTER/QUARTER SECTION (check one): _ NE ~ NW - SE - ' SW GENERAL DESCRIPTION: (miles and direction 2 1/2 MILES SOUTH OF MCCLAVE AND 1 MILE EAST from nearest town and approximate elevation) (~~ '3/L MTTF CNiTTI FTF\IATTfIA~ ']7'Ih * If the operator is a unit of State or county government, an application fee is not required. A fraction of an acre must be counted as one acre for fee calculation.