Laserfiche WebLink
IIIIIIIIIIIIIIIIIII • ~ `-~~~~~/~~ <br />LIMITED I~ _ ..., .,,~~ i i 10(2) ) mgt 2 5 1992 <br />RECLAMATION PERMIT <br />APPLICATION FORM pp Mmed land <br />The application for a Limited Impact Operation Reclamation Permit cofit~drfi~t~iltt~laia~6n <br />parts: (1) the application 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 he information in <br />the format and order described in this form. Ll'7 ~9~~v <br />l~ gl ~- ----- ---- ----------------- <br />- ----------------- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/operator name: JACx G. QUINN <br />1.1 Type of organization (corporation, partnership, etc.): INDIVIDUAL <br />2. Operation name (pit, mine or Site name): QUINIQ QUARRY <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted acreage 9.95 permitted acres <br />3.1 Application Fee 8875.00 application fee <br />LIMESTONE' <br />4. Substance(s) to be mined le.g., gravel/gold/borrow): BUILDING STONE & AGGREGATE <br />5. Name of owner of surface of affected land: JACx G. QiIT~**~ R T.F.Ni~TF. M_ OITNN <br />6. Name of owner of subsurface rights of affected land: JAr'*; G_ a ?~ENNIE M. QUINN <br />7. 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 in: <br />COUNTY: DOUGLAS <br />PRINCIPAL MERIDIAN (check one): x 6th (Colorado) 10th (New Mexico) _ Ute <br />TOWNSHIP (write number and Check direction): T 12 North ~ South <br />RANGE (write number and check direction): R 69 _ East ~ West <br />SECTION (write number): 5 ~4 <br />QUARTER SECTION (check one): X NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): ~ NE _ NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(m11e5 and direction in MTTFS NORTH OF WOODLAN D PARI: <br />from nearest town and <br />approximate elevation) 7900 <br />