2015-02-24_REVISION - M1990098

• Permit No: M1990098
• IBM Index Class Name: REVISION
• Doc Date: 2/24/2015
• Doc Name: Notices SR03
• From: DRMS
• To: The Consolidated Mutual Water Company
• Type & Sequence: SR3
• Email Name: PSH
• Email Name: MAC
• Media Type: D
• Archive: No

I11 lIII111IIIIII III JUL 19
sss MINE[) LAND
REGULAR (112) PERMIT RECLAMATION DIVIF11(v'
APPLICATION FORM
This form contains two major parts: (1) General Operation Information and (2) Exhibits
A-P. When you submit your application, be sure to include four signed copies of the
General Operation Information, four co ies of Exhibits A -P, and as -�ck for the
application fee described under (4) below. To expedite processing, please provide the
information in the format and order described in this form.
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GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
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1. Applicant /Operator Name: Asphalt Paving Co.
2. Operation Name (Pit, mine or site name): _P_e_rry Pit .
3. Application type: Regular (112) Permit Operation.
4. Application Fee for Permitted Acreage* —I , R permitted
acres.
($50.00 + x15.00 /acre, 1st. 50 acres;
=10.00 /acre, 2nd. 50 acres; :5.00 /acre, 3rd. 50 acres;
=1.00 /acre, argr additional acreage; maximum fee of
$2,000.00).*
Note permitted acreage and application fee and
attach a check for this amount when you file. $1390.,00 application fee.
S.
Substance(s) to be mined (e.g., gold /silver /gravel):
sand nd and gravel .
6.
-Owners(s) of Substance to be Mined
(check applicable box(s)): xxPrivate
State Federal Indian
7.
Owner(s) of Record of Affected Land
(check applicable box(s)): xxPrivate
State Federal Indian
8.
Type of Mining Operation
(check applicable box(s)): xxSu rface
Underground In -situ
9.
Location Information. The center of the area where
the majority of mining will
occur lies in:
COUNTY:
PRINCIPLE c ecc one): xxx6th (Colorado) 10th (New Mexico) Ute
TOWNSHIP (write number and check direction):
T, xxNorth South
RANGE (write number and check direction):
R t;(;, 67 East x)Nest
SECTION (write number):
S
QUARTER SECTION (check one):
25ME 30 KW SE SW
SECTION (check One):
SE SW
GENERAL DESCRIPTION:
(miles and direction Approximately two miles NNW from Brighton,
from nearest town and
approximate elevation) Colorado at an elevation of 9930 feet.
* If the operator is a unit of State or county goverment, an application fee is not
required. A fraction of an acre roust be counted as one acre for fee calculation.