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IIIIIIIIIIIIIIIIIII JuL. lU ,,•,~~ <br />REGULAR (112) PERMIT hR{NED LAND <br />APPLICATION FORM ^ani 4pl~PTInN pi~nc'^_'.~ <br />This form contains two mayor parts: (1) General Operation Information and (2) Exhibits <br />A-P, When you submit your application, be sure to include four s~1 named copies of the <br />General Operation Information. four copies of Exhibits A-P, and awe c for the <br />appllcatlon fee described under (4) below. To expedite processing, please provide the <br />information 1n the format and order described 1n this form. ~,~ ~~~ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, 1n the space provided, all lnforaation described below. <br />~iGtiCGLLLL-~---iL~iiLGLCLGCLCfiLCiL{i3L~iLitlififtiiiiCtiiiifiiiiiCiiL4iiLiiLCLLiiiCLti6 <br />1. Applicant/Operator Name: Asphalt Paving co.'. , <br />2. Operation Name (Pit. mine or site name): Perrv Pit , <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* i,a permitted <br />acres. <br />(:50.00 + Y15.00/acre. 1st. 50 acres; <br />:10.00/acre. 2nd. 50 acres; =5.00/acre. 3rd. 50 acres; <br />61.00/acre. aqy additional acreage; maximum fee of <br />Note permitted acreage and application fee and <br />attach a ched:.for this amount when you file. ;1390.00 appllcatlon fee. <br />5. Substance(s) to be mined (e.g.. gold/silver/gravel): sand and gravel <br />6. ~Owners(s) of Substance to be Mined <br />(check applicable box(s)): xxPrivate State Federal Indian <br />7. Qrner(s) of Record of Affected Land <br />(check applicable box(s)): xxPrivete State Federal Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): xxSurface Underground In-situ <br />9. Location Information. The center of the area where the ma~ortty of mining will <br />occur lies 1n: <br />COUNTY: w a <br />PRINCIPLE c ec, one ~ gg~¢th (Colorado) 10th (New Nexlco) Ute <br />TOWNSHIP (write number and check direction): T 1_ XgNorth South <br />RANGE (write number and check direction): R6fi_h7 East xlblest <br />SECTION (write number): S 3p,~25 <br />QUARTER SECTION (check one): 25at 30 ~ ~ 311 <br />QUARTER/QUARTER SECTION (check one): NE -NN g ~ <br />GENERAL DESCRIPTION: <br />(m11es'and direction Approximately two miles NNW 'from Brighton, <br />from nearest tarn and <br />approximate llevatlon) Colorado at an elevation of 4930 feet., <br />• If the operator is a unit of State or coutMy goverment, an application fee Is aot <br />required. A fraction of an acre must be counted as one acre for 1'er caTcuTation <br />