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' REGULAR OPERATION (112) . <br />RECLAMATION PERMIT .34 <br />APPLICATION FORM <br />CHECK ONE; New Application (Rule 2) x Amendment'Appll' atioti -(RtAe 1.9) <br />Conversion Application (Rule 1.10) <br />' The application for a Regular Operation Reclamation Permit contains three major 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 one (1) signed original and four (4) signed <br />copies of the application form, five (5) copies of Exhibits A -S, and a check for the <br />application fee described under Section (14) on Page 3. To expedite processing, please <br />provide the information in the format and order described in this form. <br />____== ° = =aaaa= n= a,== aa= v= =s== coca=====__= �=== ac=== c== v= aav=== aaa-== a= saa == 'axx?•n?•�a== =a = = == <br />GENERAL OPERATION INFORMATION Q tj6 <br />Type or print clearly, in the space provided, all information describe d below. <br />1 1. Applicant /operator name: Western Aggregates, Inc. <br />' 1.1 Tyoe of organization (corporation, partnership, etc.): cow ration <br />2. Operatioi name (pit, mine or site name): Lightweight Aggregate Mine and Plant <br />' 2.1 I.R.S. Tax ID No. or Social Security No.: IRs Tax ID# 133525653 <br />3. Permitted Acres: 75 Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): $1,550.00 Application fee <br />4. Substance(s) to be mined (e.g., gravel /gold /borrow): shale <br />5. Name of owner of surface of affected land: <br />6. <br />7. <br />Name of owner of subsurface rights of affected land: <br />If 2 or more owners, refer to Exhibit P. <br />Hogan, Margaret and Edward <br />Hogan, Margaret and Edward <br />Type of mining operation: X Surface _ _ Underground <br />Location Information: the center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Jefferson <br />PRINCIPAL MERIDIAN (check one): x 6th (Colorado) 10th <br />(New Mexico) Ute <br />TOWNSHIP (write number and check direction): <br />_ <br />T 2 <br />North <br />_ <br />x South <br />RANGE (write number and check direction): <br />R 70 <br />East <br />x West <br />SECTION (write number): <br />S 4 <br />QUARTER SECTION (check one): <br />NE x <br />NW SE <br />SW <br />QUARTER /QUARTER SECTION (check one): <br />NE r <br />NW SE <br />x SW <br />GENERAL DESCRIPTION: <br />(miles and direction 71own of Superior <br />municipal boundary = <br />1.5 miles to <br />from nearest town and <br />approximate elevation) northeast. <br />Elevation about <br />6,100 ft. <br />above MM. <br />I i% I N. 1 A <br />. 7 <br />• r A -y i tl r •y[ 6 ,L <br />