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' RECE~~~® ~ <br />' MAR 0 4 1987 REGULAR (112) PERMIT <br />' MINEC, ~„~.~ ~ APPLICATION FORM ~ d~ Q~~ <br />This form co~~`~T~Q~t~~a1P'fs~:N (1) General Operation Information and (2) Exhibits <br />A-P. When you submit your application, be sure to include four siggne~d~ copies of the <br />' General Operation Information, four copies of Exhibits A-P, and as Check for the <br />application fee described under (4) below. To expedite processing, p~,sf~~ovide the <br />information in the format and order described in this form. CCJJ <br />' GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />---------------------------------- <br />------------------------------------------------------- <br />' 1. Applicant/Operator Name: Gosney and Sons, Inc. <br />2. Operation Name (Pit, mine or site name): Bavfield Pit No. 1 <br />3. Application type: Regular (112) Permit Operation. <br />' 4. Application Fee for Permitted Acreage* 37.3 permitted <br />acres. <br />(550.00 + E15.00/acre, 1st. 50 acres; <br />' 510.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres; <br />E1.00/acre, any additional acreage; maximum fee of <br />52,000.00).* <br />' Wote permitted acreage and application fee and <br />attach a check for this amount when you file. $620.00 application 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)): ® Private ^ State ^ Federal ^ Indian <br />' 7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): ® Private ^ State p Federal ^ Indian <br />' 8. Type of Mining Operation <br />(check applicable box(s)): ® 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: La Plata <br />' PRINCIPLE MERIDIAN check one ^ 6th (Colorado) ® 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T 34 ® North ^ South <br />RANGE (write number and check direction): R 7 ^ East !SI West <br />' SECTION (write number): S 14U <br />QUARTER SECTION (check one): ^~- ® NW ^ 5E ^ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE ® SW <br />' GENERAL DESCRIPTION: <br />(miles and direction Approx. two miles S. of Bavfield; <br />from nearest town and <br />approximate elevation) 6,750 ft. MSL. <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 for fee calculation. <br />