PERMFILE43411

• Permit No: M1988112
• IBM Index Class Name: Permit File
• Doc Date: 11/8/1988
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

- - ,
III IIIII~~~IIIIIIII I.
ti
;r
I REGULAR (112) PERMIT ~~~~~ A )v.~
APPLICATION FORM /,f,;,~,~ . •
1 This form contains two major parts: (1) General Operation Information 8~~~,rE/c~(}j ~ts
A-P. When you submit your application, be sure to include four s~~i~~ne~--d copies of fh~- ~
General Operation Information, four copies of Exhibits A-P, and as c~k for the
application-fee-described-under-(4)-below.--To-expedite-processing, please provide the
information in the format and order described in this form.
__~~ ~=~_b__LL~ , ~K=~''~L1====
•GENERAL OPERATION INFORMATION ~,,~~L~Op.G~[~
- Type or print clearly, in the space provided, all information described below.
1. Applicant/Operator Name: Rattle Mountain Resources. Inc.
' )
i
i
_ 2. Operation Name (Pit, m
ne or s
te name
: tan luis Proiect
' 3. Application type: Regular (lit) Permit Operation.
4, Application Fee for Permitted Acreage* 2_j00 _permitted~
=;•
' •: acres.
(E50.00 + E15.00/acre, 1st. 50 acres;
,
$10.00/acre,, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres;. .~
~
"'
51.00/acre, any additional acreage; maximum fee of
~
Mote permitted acreage and application fee and
~
~
fe?:
attach a check for this amount when you file. $2,000.00 applicatlon
5. Substance(s) to be mined;(e.g., gold/silver/gravel):, gold/silver
6. Owners(s) of Substance to be Mined
_
(check applicable box(s)): ~ Private ^ State ~ederal ^ Indian
7. Owner(s) of Record of Affected Land
(check applicable box(s)): • ® Private ^ State ^ Federal ^ Indian
8. Type of Mining Operation
(check applicable box(s)): ® Surface U Underground ^ In-situ
'
9. Location Information. The center of the area where the majority of mining will
occur lies in:
' COUNTY: Costilla
PRINCIPLE MERIDIAN chec one ^ 6th (Colorado) ^ 10th (New Mexico) ^ Ute
TOWNSHIP (write number and check direction): T 32 ^ North ® South
' RANGE (write number and check direction): R 71 ^ East ® West
SECTION (write number): S 22
QUARTER SECTION (check one): ^ N€- ^ NW ^ SE ^ SW
QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE ^ SW
' GENERAL DESCRIPTION:
(miles and direction Approximately 4 miles northeas'~ of San Luis,
' from nearest town and
approximate elevation) Colorado
* If the operator is a unit of State or county government, an application fee is not
I req uired. A fraction of an acre must be counted as one acre for fee ca~iculation.
r
1 iv