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REGULAR OPERATION (112) <br /> RECLAMATION PERMIT `34 <br /> APPLICATION FORM <br /> tCHECK ONE; New Application (Rule 2) x Amendment'Appl i`c'atioii`(RtMe 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 /> applicatlon 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. n=Q 8, /0 <br /> GENERAL OPERATION INFORMATION Q <br /> Type or print clearly, in the space provided, all information described below. <br /> ' 1===^Appli[ant/operator name: western Aggregates, Inc.^===__~__�~'^___________________ <br /> ' 1 . 1 Tyoe of organization (corporation, partnership, etc. ) : cog22ration <br /> 2. Operatioi name (pit, mine or site name): Lightweight Aggregate Mine and Plant <br /> 2. 1 I.R.S. Tax ID No. or Social Security No. : <br /> 3. Permitted Acres: EMNEWres <br /> Please indicate acreage to the nearest tenth ( 10th) acre. <br /> 3. 1 Application fee (see Section 14): $1,550.00 Application fee <br /> ' 4. Substance(s) to be mined (e.g. , gravel/gold/borrow) : shale <br /> ' 5. Name of owner of surface of affected land: Hogan, Margaret and Edward <br /> 6. Name of owner of subsurface rights of affected land: Hogan, Margaret and Edward <br /> If 2 or more owners, refer to Exhibit P. <br /> ' 7. Type of mining operation: x Surface ; Underground <br /> 8. 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 (New Mexico) Ute <br /> TOWNSHIP (write number and check direction) : T 2 _ North x South <br /> RANGE (write number and check direction): R 70 _ East x West <br /> SECTION (write number) : S 4 <br /> QUARTER SECTION (check one): NE x NW SE SW <br /> QUARTER/QUARTER SECTION (check one) : NE _ NW _ SE x SW <br /> GENERAL DESCRIPTION: <br /> (miles and direction Town of superior municipal boundary = 1.5 miles to <br /> from nearest town and <br /> approximate elevation) northeast. Elevation about 6,100 ft. above MSL. _ <br /> ar s r '�y7 o u w d =.L <br />