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' RLULivED <br />' REGULAR OPERATION (112) A P " HJ4 <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />i DWI-,, csy <br />CHECK ONE: New Application (Rule 2) X Amendment Application (Rule 1.8) <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. rn 3S <br />t aaasvaa-cacacaa a=saaa.aaacaa-acaaaexma=aaaxsasaa aan :x-xx=aa==aaaaa.asanaaxa �aacaaae=a,s ea <br />GENERA(_ OPERATION INFORMATION 1,3y <br />Type or print clearly, in the space provided, all information described below. <br />' asa=aaaaaaacacaaeax---aa.ma..ssaaaa---=xaaasa=aaazaxasaaoaaaaaen ao aoaaacxxaaaa=xscaaa=sax-a <br />1. Applicant/operator name: Western Aggregates, Inc. (Bluestone Aggregates) <br />' 1.1 Tyoe of organization (corporation, partnership, etc.): corporation <br />2. Operation name (pit, mine or site name): Bluestone Sand and Gravel Mine <br />2.1 I.R.S. Tax ID No. or Social Security No.: IRS Tax ID# 133525853 <br />Permitted Acres: 707 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 />Substance(s) to be mined (e.g., gravel/gold/borrow): <br />Name of owner of surface of affected land: <br />Name of owner of subsurface rights of affected land: <br />If 2 or more owners, refer to Exhibit P. <br />Type of mining operation: <br />sand, gravel <br />United States of America <br />Department of Energy <br />See Exhibit P <br />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) <br />_ Lite <br />TOWNSHIP (write number and check direction): <br />T 2W <br />_ North x <br />South <br />RANGE (write number and check direction): <br />R 70 <br />_ East X <br />West <br />SECTION (write number): <br />S 3,4&9 <br />QUARTER SECTION (check one): <br />x NE 4&9 <br />NW x SE4 <br />—SW <br />QUARTER/QUARTER SECTION (check one): <br />x NE3 x <br />NW 3 x SE9 <br />^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Town of Superior <br />municipal boundary adjacent on the <br />from nearest town and <br />approximate elevation) north. Zlevation about 6,000 ft. above MSL. _ <br />0R1�dNA- <br />