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II IIIIIIIIIIIII III <br />LIMITED II sss ,.10(2)) FEB 4 1994 <br />• RECLAMATION PERMIT <br />APPLICATION FORM <br />Cirici~.^. c~ i,~,aer,.~,: ~ ~,.c,Cnv <br />CHECK ONE: XX New Application (Rule 3.2> Amendment Application (Rule 1.8) <br />Conversion Application (Rule 1.10) <br />The application for a Limited Impact Operation Reclamation Permit contains three major <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 one (1) signed original and one (1) copy <br />of the application form, two (2> copies of Exhibits A-J, and a check for the application <br />fee described under (3) below. To expedite processing, please provide the information <br />in the format and order described 1n this form. ~ , Q ~_ ~v ~ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />vaaaaavvvvvavvvavvvvvavvvacvvvvcaaaavvvvvcaaavvvvvavvvavcvvvavvvvvvvvaavvvvvaavvvaavvvaaa <br />1. Applicant/operator name: Id. Peter Schrepfer <br />1.1 Type of organization (corporation, partnership, etc.): Individual <br />2. Operation name (pit, mine or site name): Emerald Vista Estates <br />2.1 I.R.S. Tax ID No. or Social Security No. <br />• Permitted acreage 9.44 permitted acres <br />3.1 Application Fee (New Application Only) 3875.00 application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): Sand & Gravel <br />5. Name of owner of surface of affected land: M. Peter Schrepfer <br />6. Name of owner of subsurface rights of affected land: M. Peter Schrepfer <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: Las Animas <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 33 North ~ South <br />RANGE (write number and check direction): R j~,3_ _ East ~ West <br />SECTION (write number): S 15 <br />QUARTER SECTION (check one): X NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction <br />from nearest town and <br />• approximate elevation) <br />