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. • III IIIIIIIIIIIIIIII • - <br /> 999 <br /> REGULAR OPERATION (112) C. j <br /> RECLAMATION PERMIT <br /> APPLICATION FORMLa.no <br /> ?p _ <br /> ,.ti JCi <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 five (5) signed copies of the application <br /> form , five (5) copies of Exhibits A-S, and a check for the application fee described <br /> under Section (14) on Page 3. To expedite processing, please provide the information in <br /> the format and order described in this form. <br /> -- --------- ------ ----------------- -- - <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> 1 . erator name: BILL KOBOBEL <br /> 1 . 1 Type of organization (corporation, partnership, etc. ) : Sole Proprietor <br /> 2. Operation name (pit, mine or site name) : Idaho Creek Resource <br /> 2. 1 I .R.S. Tax ID No. or Social Security No. : (Margaret Kobobel ) 521-50-8056 <br /> 3. Permitted Acres: 65.7 Permitted acres <br /> Please indicate acreage to the nearest tenth 0 Oth) acre. <br /> 3. 1 Application fee (see Section 14) : $1 ,875.00 Application fee <br /> 4. Substance(s) to be mined (e.g. , gravel/gold/borrow) : Sand and Gravel <br /> 5. Name of owner of surface of affected land: Bill Kobobel <br /> 6. Name of owner of subsurface rights of affected land: Bill Kobobel <br /> If 2 or more owners , refer to Exhibit P. <br /> 7. Type of mining operation: XX Surface _ Underground <br /> B. Location Information: the center of the area where the majority of mining will <br /> occur lies in: <br /> COUNTY: Weld <br /> PRINCIPAL MERIDIAN (check one) : XX 6th (Colorado) 10th (New Mexico) Ute <br /> TOWNSHIP (write number and check direction) : T �_ ( North South <br /> RANGE (write number and check direction) : R 68 _ East XX West <br /> SECTION (write number) : S 20 <br /> QUARTER SECTION (check one) : NE NW XX SE SW <br /> QUARTER/QUARTER SECTION (check one) : _ NE _ NW XX SE _ SW <br /> GENERAL DESCRIPTION: <br /> (miles and direction 3-1/2 Miles N N E of Erie, CO <br /> from nearest town and <br /> approximate elevation) 4905 feet elevation <br />