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F~~~~:V ~v ~~ <br />~III'II'I"I'1"''I' L•ITED IMPACT OPERATION (110(2)) <br />- sss RECLAMATION PERMIT iPR 16 1991 <br />x;;„;. `" APPLICATION FORM <br />~~. ?r.' Mined Land <br />~~'~~~ The~•appllcatton'for a Limited Impact Operation Reclamation Perm14 cor~ta~ns"''ffl4~`ma`jor <br />,:. <br />`•` parts:' (1) the applicatton form; (2) Exhibits A-J; and, (3) the application fee. When <br />yoU~submit your application; be sure to include two (2> signed originals of the <br />applicatton form, two <2) copies of Exhibits A-J, and a check for the appllcatlon fee <br />' described under (3> below. To expedite processin please provide the information 1n <br />the format and order described in this form. ~a_-Q/~, y5 Q„_~ ~~L~~S <br />aaaaaaaaaaav aaaaaaaavaavaavvaavavvsaaavaaavaav -a aaaaaasaaaa"s`v`G~'aa vovaa vvaaaavvaaa <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />aaaaaaasaaaaaaaaaaazaaaaavvaaaaaaaaaaaaavaaaaavaavvvavvvvaaavaaaaaaavvavaaaaa saaaaaaaaata <br />1. Applicant/operator name: c/JM~~~N~-!</t <br />C 1.1 Type of organization (corporation, partnership, etc.): Tiv D J ///J U.9,lL~Y <br />2. Operation name (pit, mine or site name): (Tc7l.~ 3 A S/iV <br /> 2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted acreage .~ permitted acres <br /> 3.1 Application Fee 8875.00 appllcatlon fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): ~~/J <br />5. Name of owner of surface of affected land: ~~I~rYF-L~ 9 <br />6. Name of owner of subsurface rights of affected land: .T//Y/l~,s~NE,CL /~ <br />7. Type of mining operation: * Surface _ Underground _ In-situ <br />8. Location information. The center of the area where the majority of mining will <br /> occur lies in: <br />C/~gF <br /> COUNTY: <br />f~F <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T North ~( South <br />RANGE (write number and check direction): R ~ _ East ~ West <br />SECTION (write number): S ~" <br />QUARTER SECTION (check one): ,~ NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW ~ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction 'J,S/yl/ FS lf /EST,DF GR. 4i//TE _ <br />from nearest town and - <br />~ <br />approximate elevation) /o~,~^.~O Ff . , <br />, <br />