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III IIIIIIIIIIIIIIII v~-= - ~~~~~~~® <br />_ ocr3u19~~ <br />•;! LIMITED It4PACT OPERATION (110) MINE~Lq-yt:J <br />APPLICATION FORM RECLAMATION OIVlS(ON <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you s~ibmit your application, be sure to include two ski ned copies of the <br />General Operatioi Information, tvo copies of Exhibits A-G, and a c e k for the <br />application fee jescribed under (4) below. To expedite processing, please provide the <br />information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION ~ S5ci7~ <br />Type or print clearly, in the space provided, all information described below. <br />----------------------------------------------------------------------------------------- <br />----------------------------------------------------------------------------------------- <br />1. Applicant/Operator Name: Butala Construction Company, Inc. <br />2. Operation Name (Pit, mine or site name): Butala Marble Quarry <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* <br />(S70 x (affected acres) + 525.00).* <br />tJote permitted acreage and application fee and <br />attach a check for this amount when you file. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel) <br />6. Owners(s) of Substance to be Flined <br />(check applicable box(s)}: l~ Private <br />7. Owner(s) of Record of Affected Land <br />6.00 permitted acres. <br />$ 85.00 application fee. <br />Marble <br />^ State ~ Federal ^ Indian <br />(check applicable box(s)): ® Private ^ State ~9 Federal ^ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): ® Surface ^ Underground ^ In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COU`JTY: Chaffee <br />PRINCIPLE h1ERIDIAlJ check one ^ 6th (Colorado) ^ 10th (New Mexico)^ Ute <br />TOWtlSHIP (write number and check direction): T 50 ® North ^ South <br />RANGE (write number and check direction): R 6 (8 East ^ 6'est <br />SECTION (write number): S 14 <br />QUARTER SECTION (check one): ^~71^ ^ NW ® SE ^ S'd <br />QUARTER/QUARTER SECTION (check one): CS NE ^ PJW ^ SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction 20 Miles Wes t of Sa lida <br />from nearest town and <br />approximate elevation) Elevation is 11,600 feet <br />a <br />* If the 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 />