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' , iii iiiiiiiiiiiuiii , , __.. _, <br />LIMITED IMPACT OPERATION (110(2)) <br />RECLAMATION PERMIT lUN ? 5 1993 <br />APPLICATION FORM <br />,,«ueo~og9yy - <br />CHECK ONE: x New Application (Rule 3.2) Amendmerit~Applica`~~on (R~71e 1.8) <br />Conversion App 1'i cation (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, C3) the application fee. When <br />you submit your application, be sure to include one CI) signed original and one C1) 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 in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/operator name: r;r~ of rr;F],p;e rraa4 <br />1.1 Type of organization (corporation, partnership, etC.): m,inirinal rnrnnrarinn <br />2. Operati,,,~ name (pit, mine or site name): M;alana travel pit <br />2.1 I.R.S. Tax ID No. or Social Security No.: sa-6ooo576 <br />3. Permitted acreage 8.9 ~_ permitted acres <br />3.1 Application Fee (New Application Only) 5875.00 application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): gravel <br />u.s. <br />5. Name of owner of surface of affected land: Bureau of Land Management/Dept. of Interior <br />6. Name of owner of Subsurface rights of affected land: Bureau of Land Management <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: Teller <br />PRINCIPAL MERIDIAN (check one): x 6th (Colorado) _ 10th (New Mexico) Ute. <br />TOWNSHIP (write number and check direction ): T 14 North x South <br />Hr~NGt iwrite number and cneck airection): R ~_• _ East x West <br />SECTION (write number): S 32 <br />~~~aorco crrTrnp i~tie~~ -..,a): NE NW SE X SW <br />QUARTERlQUARTER SECTION tcheck one): _ NE _ NW x SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction approximately 3 1/2 miles from Cripple Creek to the NE; <br />from nearest town and <br />aNN~~n ium ~e eieva~iuui 9,700 foot elevation <br />