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LIMITE III III'llllllllllll V (110(2))'; '~~d ~'r ~:..u <br />~ .. ... sss. ....IT <br />APPLICATION FORM <br />• i ~ EB 2 6 199? <br />The application for a Limited Impact Operation Reclamation Permit pntains three mayor <br />parts: (1) the .application form; (2) Exhibits A-J; and, (3) the ~~1~~~~ fee. When <br />you submit your application, be sure to include two <2> sianed~~~iit~'1'n<~~hs6`f•'the, <br />application form, two (2) copies of Exhibits A-J, and a check for the application fee <br />described under (3) below. To expedite processing, please provide the fnformatton in <br />the format and order described in this form. <br />aav vvvvnavvvvvvevvvvvvvavvvnvvvvvvvvvsev~vvwvsevnvvvnvevaavvvanvvvavvvavvvevvevvnvvvvvvcv <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, to the space provided, all information described below. <br />-vaaacavvcaaaavavvavvavvaaaaavavaaaaaaaavavvavavavacvnvvvavvvevvvacvvavvavacvevvcaavaacca <br />1. Applicant/operdtOr name: Pete Klein & Richard Zanett <br /> dba/ZMK Mine Construction, Inc. <br /> 1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): ZMK Gravel <br /> <br /> 2.1 I.R.S. Tax ID No. or Sociai Security No.: ~+- <br /> <br />3. Permitted acreage 9.85 permitted acres <br /> <br /> 3.1 Application Fee $875.00 application fee <br /> <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): Gravel <br />• 5 <br />. Name of owner of surface of affected land: Pete Klein & Richard zanett <br /> <br />6. Name of owner of subsurface rights of affected land: Pete Klein & Richara zanett <br /> <br />7. Type of mining operation: x Surface _ Underground _ In-situ <br />8. Location information. The center of the area where the majority of mining will <br />occur lies in: , <br />COUNTY: moray <br />PRINCIPAL MERIDIAN (check one>: 6th tColorado) x 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction>: T 44 x North South <br />RANGE (write number and check direction): R 8 _ East X 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 5 miles North of Ouray, co <br />from nearest town and <br />approximate elevation) Elevation 7180 <br />