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\~ • ~' III IIIIIIIII IIII III <br />999 ~ h1AR 23 1987 <br />C®UNTY: Prowers County <br />PRIfJCIPLE h1ERIDIAFJ (check one): O 6th (Colorado) ^ 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T 22 p FJorth p South <br />RAFJGE (write number and check direction): R tr{ ^ East ® West <br />SLa(iTION (write number): S 2q <br />(~UA2TER SECTIOFJ (check one): rJ NE ^ NW p SE CxJ SW <br />QUAITER/QUARTER SECTION (check one): ^ NE ^ NW p SE ^ SlY <br />6EN1_RAL DESCRIPTION: <br />(mi'les and direc*ion Location is within +hn r•+y r+ its nF <br />from nearest ~ir:~ aqd <br />approximate elevation) the City of Lamar .i v ion is ~n~ <br />* If the operator is a governmental subdivision or requires a permit solely for <br />fulfilling a contract with the State Department of Hi ;`::ray s, an application fee is not <br />required. A fraction of an acre must be counted as one acre•for fee calculation. <br />SPECIAL OPERATION (111) <br />APPLICATIOJJ FO1LM <br />MINED LAND <br />fiECLAMATION DIVISION <br />Two copies of Exhibits A-H must be attached to the General Operation Information upon <br />submittal to the Division. Each exhibit must be presented separate from the other <br />exhibits. For example, Exhibit A - Legal Description should be on page 1 and Exhibit B <br />- Site Description should start on page 2. Please type the title of each exhibit at the <br />top of each exhibit page. Please number the pages of Exhibits A-H consecutively for <br />ease of reference. The following sections describe the minimum information that must be <br />supplied for each exhibit. ~/J_~ J•®Sv <br />-------- - - <br />- ----------------------------------------- <br />' GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />------------------------------------------=--------------------------------------------- <br />---------------------------------------------------------------------------------------- <br />1. Applicant/Operator Name: City of Lamar. a P'uni ci nal Cornnrati nn <br />2. Operation Name (Pit, mine or Site name): Lamar Industrial Park Gravel Pit <br />3. Application type: Special Operation (111). <br />4. Application fee for Permitted Acreage* 9.9~_permitted acres. <br />(b15 x ;affected acres) + 5200.00).* <br />Flote afFected acreage and application fee and <br />attach ~r check for this amount when you file. see 111(7) = 4.13 application fee. <br />5. Substanc:e(s) to be mined (e. g., sand, gravel): sand and gravel <br />6. Owners(<.:) of Substance to be Mined X Municipal <br />,(cheek applicable box(s)): ^ Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land X !•;unicipal <br />(cheek applicable box(s)): ^ Private ^ State ^ Federal ^ Indian <br />8. •Type of idining Operation <br />(check applicable box(s)): p Surface ^ Underground <br />9. %~iocation Information. The center of the area where the majority of mining will <br />occur lies in: <br />