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Keu~~rcled August (1't, l')r)7 :rl •2 I'.hl. P-~ °^ <br />III I •'^~~r~i~,n If <br />IIIIIIIIIII 203101. A•ew F. <br />IIII Pororr, Kocnrclor fSK. <br />IC, ~I`, <br /> <br />RLGUL,tR UPIRAf[ON (112) <br />RECI_AMAr;ON PERMIT <br />nPPL:''.alION FORM <br />lI,H application ror a Regi~la~ Uneratir~n Reclamation Permit contains three major parts: <br />O) the application form, (2> i~hi`.rits n-S; and, (3> the application fee. When you <br />submit :-,~~~ af.„IiCatiO•,, ';e swe to include five (5> s1 nod copies of the application <br />faro, f,~ i5> copies of Exhibits A-S, and a check for the application fee described <br />unaer Sec'.ion Ala) on Page 3. To expedite processing, please provide the information In <br />the ro~mat and order described in this form, <br />av~°-=--------====-cvc.avesc.vvvvevavevvvsvevvvwvavrrwwvvvvvvvvvvvvvvvvvvavvvvavvv.eve-. <br />GENERAL OPERATION INFORMATION <br />Eype or print clearly, in the space provided, all information described below. <br />a._a~__~. :__ ___ _______~==::a...c==ovv~vvsve n~vvvovv ovvvevevu vvvvvvvv uv.ev.=v=~=__. <br />1. A;,p~ica~ "p:' at~.;r name: Deuictrio and Olive Valdez _ <br />i.l Tyi:~: ~~ c,ganizatior (corporation, partnership, etc.): Husband and wife <br />as joint enan s <br />2 Opr ,r~:,~~ .. .~~ ~I,il mine ~~, site na~ne~: Valdes: Gravel Mine <br />~..I I.~i.'. In •. IU Nt'. ui `~r)t_ldl '.iplln~,ty No.: Applied for <br />;. P-:~,.'.tle~S 4r.r";: 30 Permi[ted acre <br />Plea;~~ indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): $'1,875.00 Application fe- <br />4 Substance(s) t~ be mined (e.g., gravel/gold/borrow): Sand and gravel <br />5. Nam^ or u,rner or surface of affected land: Demetrio and Olive Valdez <br />~. rin,•r .~I .,>,.,,•, ~,I ,nlr.u,l,ur iiyl,l'. ,~f affected lend: _Scime as above ____., <br />If ~~~ more owners. refer to Exhibit P. <br />7. Type or mining operation x Surface - Undergroun <br />R. ~oCBi~p~ lnri,rmatlon: th,: center of tl:e area whn•e the majority of mining will <br />occur 1~2; ir: --~~- <br />COUNTY: ~ne~~s <br />PgrNrtp:,_ f•tER[~?AN (checi'. one) : 6tn (Color'•ido) x 10th (New Mexico) Ute <br />TOiJNSHI~ write n(~mber and che ck direetioN: T 3~ x North <br />~ South <br />RANGE (hate n~.rmber and check direction): R ~ - x Edst <br />_ West <br />SECTION (,.rite number): 5 ~~ <br />QUARTER SCE:Tf~N (check one): NE x NW _ SE _ SW <br />QIIATtTS~;!(~UAitiE4 ';ECIION (Chnr~ .-,,E) _ <br />NE NW _ SE _ SW <br />GENE4.~L DLSCti~1iU!! _ _ <br />(miles and direction ah~,ri~ximately _3 miles from Antonito,CO <br /> <br />:pp~.r~~i°".1t :~• ~~ ~ aooroximately 7,000 ft, elevation <br />