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REV90276
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REV90276
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Entry Properties
Last modified
8/25/2016 3:12:02 AM
Creation date
11/21/2007 11:01:21 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978007
IBM Index Class Name
Revision
Doc Date
4/16/1992
Doc Name
REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
CN1
Media Type
D
Archive
No
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~ ~, iii iiiiiiiiiiiiiii <br />_ ' ~- u <br />REGULAR OPERATION (112) (10,.1,/E25~P~-IJ6 19g; <br />RECLAMATION PERMIT <br />APPLICATION FORM l,a <br />Re^~a_.,,~,,., ~ d <br />The application for a Regular Operation Reclamation Permit tontafns three mayor parts: <br />(1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include five (5) sinned copies of the application <br />form five (5) copies of Exhibits A-S, and a check for the application fee described <br />under Section (14) on Page 3. To expedite processing, please provide the information in <br />the format and order described in this form. M ,~~v ~ ~~._ ~I_ <br />vvvvvvvaanaaavavav vavanavacacnvacnacvvsaaaaxavnv a as a vavasvva vea_ ` nvvvav <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />avvavvvvnunsasaaaavvavvavcavvanexaxaavsvxaaavvvvvvvvvvaavavvavvavavvvaaxnvanacxacxavavvva <br />1. Applicant/operator name: IL/IoFFA'T ~o~.-tiT~? T2e~a~ ~po.2"1;n~1E.wJr <br />1.1 Type of organization (corporation, partnership, etc.>: ~o,~„~T•~, <br />2. Operation name (pit, mine or site name): ^F~iG -w2U PIT' -Jt~. I"1 <br />2.1 I.R.S. Tax ID No. or Social Security No.: $~- L ~t~o7 8 S~ <br />3. Permitted Acres: 'LO Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): Application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): ~jg.~h - l QA~/fl, <br />5. Name of owner of surface of affected land: ~•~-• M- <br />6. Name of owner of subsurface rights of affected land: ~•~-• h~ <br />If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: ~ Surface _ Underground <br />8. Location Information: the center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: MOi'F14'~' <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Mexico) _ Ute <br />TOWNSHIP (write number and Check direction): T 11_ ~ North South <br />RANGE (write number and check direction): R 161 _ East ~ West <br />SECTION (write number>: S 2 ~_ <br />QUARTER SECTION (Check one): _ NE _ NW _ SE X SW <br />QUARTER/QUARTER SECTION (check one): NE NW SE ~ SW <br />GENERAL DESCRIPTION• <br />(miles and direction ~00 MILES 1.~itf cij MAf3EL_L._ C).OL-0. <br />from nearest town and <br />approximate elevation) -]'2.0o E1~/ <br />
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