Laserfiche WebLink
~~ <br />LIMITED IMPACT OPERATION (110(2)) NO V 1 8 199[ <br />RECLAMATION PERMIT <br />APPLICATION FORM iJi~a!;~!:1,.; <br />CHECK-ONE: ~ New Appiication (Rule 3.2) Amendment Application (Rule 1.8) <br />_ Conversion Appl'icatton (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 a~olication <br />fee d?scribed under (3) below. To expedite processin(g~,-~please provide the information <br />in the format and order described in this form. I ~ 1 .~~ _-IL)~/ 1 ~~I ~~Cl~ <br />GEIJ=RAL OPERA.7ION INFORMATION <br />f~:pe pr pr'c' r;ea~ly, !n the ;pdCe providea, ail information described ^elew. <br />i. 1oli.;~.,... q-.. ,.~^.e: L'ADLO~yhsQUB.'L. <br />,~ '~~~ (Cd.rpOr.at'~On,..pattner5h5p, etc.): PARTNER~N1!' <br />.-. ~•~~p _`:.; ".: ~~ :!~-~~ _. dine Or site~nd mei ~ ~~~IHAn RnY 4Trl P]P <br />Z.i i..~.S. iax iD No. Or SOCidI Security No.: 523-27-6,38 <br />r <br />r ~ <br />3. ?:; ^•it`e~' acreage ff ~ permitted acres <br />i.i ;=.es'.ica.cien yea (New Application Only) 5875.00 appiication fee <br />4. <u:stance';> `~ be reined (e.g., gravel/gold/borrow): REDSTONE <br />5. Name of owner of. surface of affected land:- FABIAN <br />o. Name of owner of subsurface rights of affected land: FABIAN <br />7. T}•pe of rt~lning 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: 30ULDER <br />P?,iNCIPAL MERIDIAN (check one): 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction) : T 3 X North South <br />RANGE (write number and check direction): R 71 _ <br />_ East X west <br />SECTION (write number): S __]__ <br />QUARTER SECTION. (check one): x NE _ NW _ SE _ SW <br />QUARTER/QUARTER SfCT10N (check one): x NE NW _ SE _ SW <br />GENERAL DESCRIPTIONi °` <br />(m11eS and direction 8 MILE NORTH WEST OF LYONS OFF HIGHWAY <br />from nearest town and <br />approximate elevation) h6 IR F~R Ti.I.) <br />