PERMFILE47768

• Permit No: M1987113
• IBM Index Class Name: Permit File
• Doc Date: 6/25/1987
• Doc Name: APPLICATION FOR A MLR PERMIT
• Media Type: D
• Archive: No

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~- k' ~~~ ~ REGULAR (112) PERMIT JUi~ x,3,5 198T
~ ) ~, ~ c~! L.~ APPLICATION FORM ~~MuvtupNU+wu
This form contains two major parts: (1) General Operation Inforgm~'ai:ioAnAa^(d f~l~~li~Nts
A-P, When you submit your application, be sure to include four s--iggne--d copies of the
General Operation Information, four copies of Exhibits A-P, and aTk for the
application fee described under (4) below. To expedite processing, please provide the
information in the format and order described in this form. -7 //3
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GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
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1. Applicant/Operator Name: Church Ranch
2. Operation Name (Pit, mine or site name): rocky i la is Fit
3. Application type: Regular (112) Permit Operation.
4. Application Fee for Permitted Acreage* 223.40 aerm:t;.ed
- ~ acres.
(550.00 + E75.00/acre, 1st. 50 acres;
510.00/acre, 2nd. 50 acres; E5.00/acre, 3rd. 50 acres;
51.00/acre, any additional acreage; maximum fee of
E2,000,00).*
Note permitted acreage and application fee and
attach a check for this amount when you file.
V$1 ,624.00 application fee.
5. Substance(s) to be mined (e. g., gold/silver/gravel): Clav/sanri/gravel
' 6. Owners(s) of Substance to be Mined /
(check applicable box(s)): Q Private ^ State ^ Federal ^ Indian
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7. Owner(s) of Record of Affected Land /
(check applicable box(s)}: I$ Private p State ^ Federal ^ Indian
8. Type of Mininq Operation
(check applicable box(s)): I~Surface ^ Underground ^ In-situ
9. Location Information. The center of the area where the majority of mining will
occur lies in:
COUNTY: Je ferson ~
PRINCIPLE MERIDIAN checc one Q 6th (Colorado) ^ 10th Chew Mexico) QQ Ute
TOWNSHIP (write number and check direction): T 2 Q North p'South
RANGE (write number and check direction): R -7~ ^ East (d' West
SECTION (write number): S ~
QUARTER SECTION (check one): p ~lE ^ NW C~SE ^ SW
QUARTER/QUARTER SECTION (check one): fd~NE ^ NW ^ SE O SW
GENERAL DESCRIPTION:
(miles and direction 9.50 miles north of Golden, CO.
from nearest town and
approximate elevation) a~,prox. elev. 6140 sea level dat+m
* If the operator is a unit of State or county government, an application fee is not
required. A fraction of an acre must be counted as one acre for fee calculation.