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D1 SION OF i?LAMATION, mu4m7WD SUBY <br />Drpmr- -, of Nownd taracm m <br />1313$1 1 rnra SLI Roan 215 <br />Dmm, cobrado? <br />mcoccs: tali ei6ma <br />FAX: 000 =4106 <br />? l Al r. U17 UULKJDVu <br /> <br /> <br /> <br />Oif cO <br />tvistolmx of <br />a? <br />RECLAMAXION <br /> <br />N Opa%LD QFFJCE MINING <br />SAAR <br />LEMM Iii EWACT (114) OPERATION <br />RECLAMATION PZRBM APPLICATION FORM <br />afflKL a lbwe Is a File Number Already Asdped is tbb Opeeadeat <br />oat asnr.5: <br />Ga <br />Hwb[ .>h? <br />InumdoDkidw <br />am.ww c mw <br />ckidmobw= <br />"Mint M?Tnow <br />Pa wit # -X--1988-0_21 (Pieaee:rP6et+exoe the cwa xdy aesipaed to Thm operation) <br />New Application Obb 1.4.5} A t Application (Rnla 1.10} Q ,- d <br />Cenaerdsa Application (Rn1e 1.11) <br />Paemic # -1988-021 %provide for Anmdmmb and Cet miftm of adsting pms ta) <br />IU applicatim for a C nanctian Mater;als Lumbad loped (110) OparationReelamabon Patmti oostlams throe mrya part: (1) the <br />appiicMm form,; (2) ExM is A-J, Euhibit L, Addmdmn 1, anysectiona ofBxbtbit 6.5 and Geowchaical Stability BLW* as tagwsad <br />by the 0flm and osdioed iaRnla 6.1, 6.2, 6.3, 6.5, sad l AAl)(bk and (3) the appHcmd ttfeL %m yonsabmityoarappiicatiaq be <br />me to invade om (1) comoiete aid e Q AI. and one (1) eopyo(dw eompleled application Saem, two (2) copies <br />ofRdnw sAd, Edd&I, 1, andapprepeiale ncdomaf6.5 (Gaobchnkd Shialityl ), o q i iL mod achakfor <br />the application, indesaibedm?der(4) bdow. Fasilbisss mUMbeloaadariaa 3-ftbiodeq msp d oddbefoidedto 81/2" X <br />11" or 81/2" X 14" one. To aaI I- ptoom iq& plisse provide the information in dw faeoos' sod otdw described in this fan <br />GENERAL. OPIERA77ON II4PORMATM <br />Tjpe m print desrb, io the t*aee praddetl, ALL 1d?Uaa daacrOod balow. <br />1, . Samrd Ramh, . 1= <br />1.1 Typo of a mni=dw (eorporatim, permasWeb-4 Litited Liability Can"a <br />2, Sovard Ranee Pit <br />3. 5 paunitoed man <br />3.1 Chop in smug (+) 4.99 act <br />3.2 Toil Acrresge in Petam.. Area 9. arras <br />4. $M <br />4.1 NowApplicatcn application fee <br />Ameodaneat Fee (C.RS. 34-32.5-125MII dR27.M appl;cmon he <br />4.2 CanVud=Fee (From 1 lOd b l l0 eomu*m fee otde 1.11.2(2)) <br />S. . Sand A Gravel <br />S.1 7ncidattd cotamioditie(a) b ba mined: 1. / lbs/Taos/vr 2. / iba/faasfvr 3. / ffis/I'anshrr <br />4. / lbs/Faeshrr S. / !bs/i'aasJ? <br />5.2 Anticipated and me ofpdomy eomrnodide(s) to be mined: Cmmtrnction Material <br />Andcipesed and nee of imidmW eormnodide(s) to be mined: <br />Mod Oioeaf <br />Mixd tad a -* --m n Doom 0 Greed ivy 0 ONEW AWW and kW Me WM