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_ ;. ,, • • III IIIIIIIIIIIIIIII • ~. '^ REGOLAR OPERATION (112) J~~ ~ S RECLAMATION PERMIT ,` ~Uy~` APPLICATION FORM O~tsion of Mm CHECK ONE: -)[~ New Application (Rule 1.4.5) _ y~ - - - r'a~~ `-" ~C"'U9Y _ w ~J~piw Permit No. M- 88 _ 062 (provide for amendments and conversions of existing permits) 111 PERMIT The application for a Regulaz Operation Reclamation Permit contains three major parts: (1) the application form; (2) Exhibits A-S and Geotechaical Stability iirhibit; and, (3) the application fee. When you submit your application, be sure to include one (1) signed and notarized original and four (4) copies of the application £ozm, five (5} copies of Exhibits A-R and nay required sections of Exhibit Sand the Geotechnical Stability Exhibit, and a check for the application fee described under Section (16) on Page 3. Exhibits should not be bound or in a 3-ring binder; maps should be folded to 8 1/2" x 11° or 8 1/2^ 7L 14" size. To expedite processing, please provide the information in the format and order described in this form. - _ _~!1~9~ _OD7 =_______ ------------------------- ------------__----__----___----__--_-- ----GENERAL OPERATION INF'ORd1aTION Type or print clearly, in the space provided, all information described below. 1. Applicant/operator or camQany name (name to be used on pezmit): 1.1 Type of Organization (corporation, partnership, etc.): STATE AGENCY 1.2 I.R.S. Tax ID No. or Social Security Number: 2. Operation. name (pit, mine or site name): -- - --'- ~ SPRTNG CRFRK PASS 3. Permitted acreage (errr existing site)111 PERMIT -9.5~- permitted acres 3.1 Change in acreage (+ or -) acres 3.2 Total acreage in Permit area 112 APPLICATION 5.0 acres 4- Fees: 4.1 New Application S1.875.00 application fee . quarry application iiriYi.i~ milling application - amendment fee r ~ ,._._____.... _ ,,., ,..,.. ~~ ~, conversion fee 5. Primary commoditie(s) to be mined: SAND GRAVEL 6. Name of owner of surface of affected land: US FOREST SERVICE 7. Name of owner of subsurface rights of affected land- US FOREST SERVICE If 2 or more owners, refer to Exhibit O- 8. Type of mining operation: RX Surface IInderground In-situ 9. Location information: the center of the area where the majority of.miaing will occur lies in: HINSDALE COtRT1'Y PRINCIPAL MERIDIAN (check one): _ 6th (Colorado) R 10th (New Mexico) _ IIte SfiCTION (write number): S ~~ X North South TOWRSFIIP (write number and check direction) : T _ RANGE (write number and check direction): R fiast ~ ~W~st QDARTER SfiCTION (check one) . ~ _ NW f~Sfi ~ SW QDARTEA/QiIIaRTER SECTION~~mm( le~led::3:iSOUTH ~} _ ~ _ tNW _gSS _ SW t GENfiRAL DfiSCRjpT~OD7ILES1NU~Tl`~ OF CK~~1~1 {~G~~(~t14~~AI ~EV~~~~~~,~7~ elevation): ccoo M AND 6 MILES SOUTH OF SPRING CREEK PASS -1