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~~ <br />RECEI'VE~ " • • III ~~~~~~~~~~~~~ ~~~ <br />APR 2 B io~~~ . <br />LIMITED IMPACT OPERATION (110(2)) <br />plvision o~ ~.~~,,..,,.•......•.,,,. <br />RAPPLICAT~ONPFORMT Auk ~ ~' 1.495 <br />.x ~ ~ CHECK ONE: _~ New Application (Rule 3.2) D~~uAmendmR&~,EA,F~wi~9Y ton (Rule 1 .8) <br />Conversion Appl'icatton (Rule 1.10) <br />The application for a Limited Impact Operation Reclamation Permit contains three mayor <br />parts: (1) the application form; (2) Exhibits A-J; and, (3) the application fee. When <br />you submit your application, be sure to include one (1) signed original and one (1) copy <br />of the application form, two C2) copies of Exhibits A-J, and a check for the application <br />fee described under (3) below. To expedite processing, please provide the information <br />1n the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator name: GR>::LN BROS., INC. <br />1.1 Type of organization (corporation, partnership, etc.): CORPOhATiON <br />2. Operation name (pit, mine or site name): GREh:N BROS. GRAi/EL PIT No. 'Z <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted acreage 9.9g permitted acres <br />3.1 Application Fee (New Application Only) 5875.00 application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow>: sand ~ Gravel <br />5. Name of owner of surface of affected land: Green Eros., Inc. - <br />6. Name of owner of subsurface rights of affected land: Green Bros., Inc. <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 1n: <br />COUNTY: Fiorgen <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 1 X 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 1 gale East . 1 mile Plorth of Fart A`.orean <br />from nearest town and <br />approximate elevation) Elev. 4250 <br />