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<br />- • IIIIII1111111111111 • ~ ~®~~ <br />RE~~~~ <br />MAR 181988 ~ <br />LIMITED IMPACT OPERATION (110) MIAIF_D LA ~'~ <br />APPLICATION FORM RECLAMATION DIVISION <br />This farm contains two ma,)or parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you submit your applicatlon, be sure to include two s~iggned-- copies of the <br />General Operation Information, two copies of Exhibits A-G, and ask 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. {//y// <br />aaaaaasaesoo=vveoovooseeaaaa=.o.veeoooo..ovvooaeees=oaevooee Y=b ~v ~~~=aosaecaaaaa.:aea <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />..:.aaeee=c==o6=====__=====z=====------=====s--°°-~---°'svocco=___=____________=====vsava <br />1. ' Applicant/Operator Name: Lincoln County <br />2. Operation Name (Pit, mine or site name): Smith Raneh Pit #2 <br />jm ~~£. 1 rm~lti ~ F`k, a. <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* permitted acres. <br />(E10 x (affected acres) + E25.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): Road Gravel <br />6. Owners(s) of Substance to be Mined <br />(check applicable box(s)): p Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): gI Private ^ State ^ Federal ^ Indian <br />8. Type of tiining Operation <br />(check applicable box(s)): OG Surface ^ Underground ^ In-situ <br />9. Lo~:ation Information. The center of the area where the ma,iority of mining will <br />occur lies in: <br />COUNTY: Lincoln <br />PRINCIPLE MERIDIAN chec one ~ 6th (Colorado) ^ 10th (New Mexico)^ Ute <br />TOWNSHIP (write number and check direction): T 15 ^ North Z] South <br />RANGE (write number and check direction): R ~- ^ East ;SI Nest <br />SECTION (write number): S 10 <br />QUARTER SECTION (check one): ^~- ^ NW ^ SE L7 SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE bl SW <br />GENERAL DESCRIPTION: <br />(miles and direction 7 miles south & 2 miles east from <br />from nearest town and <br />approximate elevation) Punkin Genter, CO. Approx Elev. 5270'• <br />* If tFie 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 />