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CHECK ONE: <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />RLUI_IVEO <br />APS, ..7 Nit <br />DWV , ,oe.. u.• u .....,;suy <br />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. m cti_ 35 <br />==a=============== Z= :=====.= ==== _=======a= <br />GENERAL OPERATION INFORMATION Ra -c, G,3 y <br />Type or print clearly, in the s'pace provided, all information described below. <br />======= =====aa== <br />========== ==aa= <br />1. Applicant/operator name: Western Aggregates, Inc. (Bluestone Aggregates) <br />1.1 Type 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 />3. Permitted Acres: 707 <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): <br />Name of owner of surface of affected land: <br />6. 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 />1 <br />7 <br />Permitted acres <br />$1,550.00 Application fee <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: <br />Jefferson <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Mexico) _ Ute <br />T 2 _ North x South <br />R 70 East x West <br />TOWNSHIP (write number and check direction): <br />RANGE (write number and check direction): <br />SECTION (write number): <br />QUARTER SECTION (check one): <br />QUARTER/QUARTER SECTION (check <br />GENERAL DESCRIPTION: <br />(miles and direction <br />from nearest town and <br />approximate elevation) north. <br />ORIGINAL <br />one): <br />S 3,4&9 <br />x NE 4&9 NW x SE4 SW <br />x NE3 x NW3 x SE9 SW <br />Town of Superior municipal boundary adjacent on <br />the <br />Elevation about 6,000 ft. above MSL. <br />