2015-11-06_REVISION - M1977081 ‎(3)‎

• Permit No: M1977081
• IBM Index Class Name: REVISION
• Doc Date: 11/6/2015
• Doc Name: Notice of Application Consideration
• From: DRMS
• Type & Sequence: AR2
• Media Type: D
• Archive: No

•
-4 111 I!11111111111 111
REGULAR (112) PERMIT
APPLICATION FORM
JUL 211989
MiNED LAND
RECLAMATION DIVISIh,+.
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 copies of Exhibits A -P, and a check for the
application fee described under (4) below. To expedite processing, please provide the
information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
_______________ =_=_==_==
1. Applicant/Operator Name: Western -Mobile, Inc.
=
2. Operation Name (Pit, mine or site name): Greeley West
3. Application type: Regular (112) Permit Operation.
4. Application Fee for Permitted Acreage*
($50.00 + $15.00/acre, 1st. 50 acres;
$10.00/acre, 2nd. 50 acres; $5.00/acre, 3rd. 50 acres;
$1.00/acre, any additional acreage; maximum fee of
$2,000.00).*
Note permitted acreage and application fee and
attach a check for this amount when you file.
(M -77-S1)
200
acres.
permitted
application fee.
5. Substance(s) to be mined (e.g., gold/silver/gravel): sand and gravel
6. Owners(s) of Substance to be Mined
(check applicable box(s)):
7. Owner(s) of Record of Affected Land
(check applicable box(s)):
8. Type of Mining Operation
(check applicable box(s)):
9. Location Information.
occur lies in:
* If the
required.
Private — State
" Private
x Surface
State
Federal — Indian
Federal
Underground In-situ
Indian
The center of the area where the majority of mining will
COUNTY: Weld
PRINCIPLE PUTMAN (check one):. 6th (Colorado)
TOWNSHIP (write number and check direction): T 6
RANGE (write number and check direction):
SECTION (write number):
QUARTER SECTION (check one):
QUARTER/QUARTER SECTION (check one):
GENERAL DESCRIPTION:
(miles and direction
from nearest town and
approximate elevation)
R 66
S 36
— NW SE SW
NE NW -- SE ` SW
10th (New Mexico) Ute
x North South
East j West
1 mile NW of Greeley
4,660' MSL
operator is a unit of State or county government, an application fee is not
A fraction of an acre must be counted as one acre for fee calculation.