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III IIIIIIIIIIIII III <br />REC~~!~® <br />• REGULAR (112) PERMIT MAY 2 ~ 1988 <br />APPLICATION FORM pdIIN~DnnL~~IAN1lDUu gg~~ <br />This form contains two major parts: (1) General Operation I~Y~npa`~b°t~lahA ~I2)I Ex~~bits <br />A-P, -'When you submit your application, be sure to include four si ned copies of the <br />General Operation Information, four copies of Exhibits A-P, and a c ec for the <br />application fee described under (4) below, To expedite processing, please provide the <br />information in the format and order described in this form. <br />--------------------------- GENERAL OPERATION INFORMATION ------------------------------ <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: Skelton, Inc. <br />2. Operation Name (Pit, mine or site name): Hawks/Shaffer oit <br />3. Appiication type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* ?p permitted <br />acres. <br />(x50,00 + 515.00/acre, 1st. 50 acres; <br />b10.00/acre, 2nd. 50 acres; X5,00/acre, 3rd. 50 acres; <br />$1.00/acre, any additional acreage; maximum fee of <br />~2,000,00).* <br />• Note permitted acreage and application fee and <br />attach a check for this amount when you file. 350.00 application fee, <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): Gravel, hand <br />6. Owners(s) of Substance to be Mined <br />(check applicable box(s)): Private State Federal Indian <br />X <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): Private State Federal Indian <br />X <br />8. Type of Mining Operation <br />(check applicable box (s )): Surface Underground In-situ <br />X <br />9, Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: H wls ~ M ntrose Count Shaffer - San Miguel County <br />PRINCIPLE ciecc one 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T ~ outh <br />RANGE (write number and check direction): R ~_ EaSt- West <br />SECTION (write number): S <br />QUARTER SECTION (check one): ~ NW SE ~ <br />QUARTER/QUARTER SECTION (check one): NE NW SE~4! <br />GENERAL DESCRIPTION: <br />(miles and direction ~_5 miles northease of Norwood. Colorado <br />from nearest town and <br />approximate elevation) 7s 300 feet aooroximately <br />* If the operator is a unit of State or county goverrunent, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation, <br />