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:=:= ~ iiiiiut~nn~aiii <br />999 <br />~ • <br />3~~5_~ <br />LIMITED IMPACT OPERATION: (110) <br />APPLICATION FORM <br />RECEIVED <br />MAR 2 41987 <br />MINED LAND <br />RECLAMATION DIVISION <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you submit your application, be sure to include two s~i~ne~d copies of the <br />General Operation Information, two copies of Exhibits A-G, and a c e k for the <br />application fee described under (4) below. To expedite processing, please provide the <br />information 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: Sandco hi-87-044 <br />2. Operation Name (Pit, mine or site name): Walker Pit <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* 3,41 permitted acres. <br />(Elo x (affected acres) + 525.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. $65.00 application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): sand and gavel <br />6. <br />7. <br />8. <br />9. <br />Owners(s) of Substance to be tdined <br />(check applicable box(sl): <br />Owner(s) of Record of Affected Land <br />(check applicable box(s)): <br />Type of Mining Operation <br />(check applicable box(s)): <br />® Private ^ State ^ Federal ^ Indian <br />(~ Private ^ State ^ Federal ^ Indian <br />L~ Surface ^ Underground ^ In-situ <br />Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: _ <br />PRINCIPLE MER AN chec: one ~ ^ 6th (Colorado) 10th (New Mexico)^ Ute <br />TOWNSHIP (write number and check direction): T 36 ~ North ^ South <br />` RANGE (write number and check direction): R -~- ^ East XX West <br />SECTION. (write number): S <br />QUARTER SECTION (check one}: ^~ ® NW ^ SE p 5W <br />QUARTER/QUARTER SECTION (check one): ^ NE ~ NW ^ SE ^ 5W <br />GENERAL DESCRIPTION: <br />(miles and direction 5 mil ~ Nnr.h n_f D~ran~an on County Rnari X50 <br />from nearest town and <br />approximate elevation) G. iir~rnxi mat.a al avni-i nn 11G S(1 . <br />* If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation. <br />