PERMFILE130196

• Permit No: M1976051
• IBM Index Class Name: Permit File
• Doc Date: 5/16/1989
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

r,i~~Y ;. i~ i9~9
REGULAR (112) PERMIT ~~'.:::~:~~ _:~,
APPLICATION FORM •'E~~ Aivlt,?'!~ )~ ,~~ ~~;_;, w
This form contains two major parts: (1) General Operation Information and (2) Exhibits
A-P, When you submit your application, be sure to include four si ned copies of the
General Operation Information, four copies of Exhibits A-P, and a~k for the
application fee described under (4} below. To expedite processing, please provide the
information in the format and order described in this form.
-------------------------------------------------------------------------------- -
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
1. Applicant/Operator Name: e,,~l«~s ~Q,-, 5~-rJC-~-~'cr, :mac
2. Operation Name (Pit, mine or site name): "3 e~- ~°~- ~~ ~
3. Application type: Regular (112) Permit Operation.
4. Application Fee for Permitted Acreage* /1 ,S8 permitted
acres.
(550.00 + 515.00/acre, 1st. 50 acres;
510.00/acre, 2nd, 50 acres; 55.00/acre, 3rd. 50 acres;
51.00/acre, any additional acreage; maximum fee of
E2,000.00),*
Note permitted acreage and application fee and
attach a check for this amount when you file. ~ ~~~5, oo application fee.
5. Substance(s) to be mined (e. g.; gold/silver/gravel): SS ~r1 '~ G~4~a\
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)): ~c Private _ State ` federal _ Indian
8. Type of Mining Operation
(check applicable box(s)): ~ Surface _ Underground _ In-situ
9. Location Information. The center of the area where the majority of mining will
occur lies in:
COUNTY: a v ~-~--
PRINCIPLE Fi c ecc ones 6th (Colorado) 10th (New Mexico) Ute
TOWNSHIP (write number and check direction): T ~ x North South
RANGE (write number and check direction): R _~ _ East x West
SECTION (write number): S
QUARTER SECTION (check one): -A~ NW SE SW
QUARTER/QUARTER SECTION (check one): _ NE ~ NW _ SE _ SW
GENERAL DESCRIPTION:
(miles and direction 6 .~-its ~.~~s~ o(- Suet.-,-~,~~c ~`-'~•c~
from nearest town and -'
approximate elevation) ~,~ ~a - 6 ~ Fsa ~ s ~
* 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.