2019-04-03_INSPECTION - M1990094

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REGULAR (112) PERMIT 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 copies of Exhibits A-P, and a ch�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. ---------------------------------------------------------------------------------------------- GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- 1 . ADplicant/Operator Name: Parkerson Construction, Inc. 2. Operation Name (Pit, mine or site name) : Orchard Grove Industrial Park 3. Application type: Reaular (112) Permit Operation. 4. Application Fee for Permitted Acreage* 34 permitted acres. ($50.00 + $15.00/acre, lst. 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. 560.00 application fee. Substance(s) to be mined (e.a. , aold/silver/gravel ) : Gravel 6. Owners(s) of Substance to be Mined (check applicable box( s) ) : X Private _ State _ Federal _ Indian 7. Owner( s) of Record of Affected Land (check applicable box(-s) ) : X Private State Federal Indian 8. Type of Mining Operation (check applicable bo.:fs) ) : X Surface Underaround In-situ 9. Location Information. The center of the area where the majority of minina will occur lies in: COUNTY: Mesa PRINCIPLE c ec one : 6th (Colorado) loth (New Mexico) Ute TOWNSHIP (write number and check direction) : T 1 North Sout RANGE (write number and check direction) : R 1 East lest SECTION (write number) : S 5 OUARTER SECTION (check one) : NE NW SE SW OUARTER/OUARTER SECTION (check one) : (jFF-) NW SE SW GENERAL DESCRIPTION: (miles and direction 1 mile W. of Grand Junction from nearest town and Elevation - 4,700 approximate elevation) If the operator is a unit of State or county government, an application fee is not required. A fraction of an acre must be counted as one acre for fee calculation.