Laserfiche WebLink
~ ~, <br />~ lllllllllllllllllll ~E~E~~E~ <br />999 <br />JUN 101987 <br />LIMITED IMPACT OPERATION (110) MINED LAND <br />APPLICATION FORM RECLAMATION DIVISION <br /> <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you submit your application, be sure to include two si nod copies of the <br />General Operation Information, two copies of Exhibits A-G, and a~k for the <br />application fee described under 14) below. To expedite processing, please provide the <br />information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION ~ cola <br />Type ~~r print clearly, in the space provided, all information described below. <br />1. Appli~;ant/Operator Name: 1~I. Sims Gravel Co. <br />2. Operation Name (Pit, mine or site name): East Douglas Pit <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* 3 permitted acres. <br /> (E10 x (affected acres) + 525.00).* <br /> Note permitted acreage and application fee and <br /> attach a check for this amount when you file. 55.~U application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): Gravel <br />6. Cwners(s) of Substance to be Mined <br /> (check applicable box(s)): d Private ^ State p Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br /> (check applicable box(s)): ^ Private ^ State m 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 dill <br />occur lies in: <br />COUNTY: ~ 6 <br />PRINCIPLE M RIDIAN check one ~ 6th (Colorado) ^ 10th (New Mexico}^ Ute <br />TOWNSHIP (write number and check direction): T _Z ^ North ^ South <br />RANGE (write number and check direction): R ir,7 ^ East © West <br />SECTION (write number): S ~5 <br />QUARTER SECTION (check one): ^-Alr ^ NW p SE ^ SW <br />QUARTER/QUARTER SECTION (check one): Ed NE ^ NlJ ^ SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Apprcximatcl~ 97 n;'Ina ~n,~i.h ~•' Rane,7y C7_ FO°y~ <br />from nearest town and <br />approximate elevation) . <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 />