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~ III IIIIIIIIIIIIIIII <br />Conversion from 111 to 112 <br />m ~a ~ ~/~ REGULAR (112) PERMIT <br />APPLICATION FORM <br />111 # M-63-211 <br /> <br />This form contains two major parts: (1) General Operation Informat~6r,(~~ (2) Ezfiib'~ts <br />A-P. When you submit your application, be sure to include fgg~~,~r si d c"d~i,~pf the <br />General Operation Information, four copies of Exhibits A-P,"~f+Q.'~for the <br />application fee described under (4) below. To expedite processin ,~)'~~+~prpvide the <br />information in the format and order described in this form. 39 8 380 <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: <br />Southway Construction Co. <br />2. Operation Name (Pit, mine or site name): zing Pit <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* zz permitted <br />acres. <br />(550.0(1 + E15.00/acre, 1st. 50 acres; <br />E10.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres; <br />51.00/acre, any additional acreage; maximum fee of <br />E2,000.00).* <br />Note permitted acreage and application fee and s3ao.oo <br />attach a check for this amount when you file. application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): sand ~ travel <br />6. Owners(s) of Substance to be Mined <br />(check applicable box(s)): ^ Private ^ State C~ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): f3 Private ^ State ^ Federal ^ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): p; Surface ^ Underground ^ In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: <br />PF:INCIPLE MER D AN chec one f~ 6th (Colorado) ^ 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T 28 ^ North f~ South <br />RANGE (write number and check direction): R 73 ^ East f3 West <br />SECTION (write number): S 31 <br />QUARTER SECTION (check one): ^ ~l~ f,~ NW ^ SE O SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE ^ SW <br />GENERAL DESCRIPTION: <br />(Rules and dfreCtiOn Approximately si xteen mil es northeast of Al amosa, <br />from nearest town and <br />approximate elevation) Colorado. Elevation 7740 -7800 MSL. <br /> <br />* If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre far fee calculation. <br />• <br />G`Czi (~1 u~ <br />