PERMFILE51825

• Permit No: M1988093
• IBM Index Class Name: Permit File
• Doc Name: MLRB REGULAR 112 PERMIT APPLICATION FREMONT PAVING & REDI MIX PIT
• Media Type: D
• Archive: No

REGULAR (112) PERMIT S F P 211988
APPLICATION FORM MINED LAND
' This form contains two mayor parts: (1) General Operation In6~FsGd~MA~~~2~1~b~ts
A-P. When you submit your application, be sure to include four s~i~ned copies of the
' General Operation Information, four copies of Exhibits A-P, and a cflec-k for the
application fee described under (4) below. To expedite processing, please provide the
information in the format and order described in this form. ~,~~_~~---~-~_9_5,0~ ___
S 9 2 3
' GENERAL OPERATION INFORMATION ~ 11 D'7o~
Type or print clearly, in the space provided, all information described below.
3 2 3
1. Applicant/Operator Name: Fremont Paving & Redi-Mix, Inc.
' 2. Operation Name (Pit, mine or site name): _ Fremont Paving & Redi-Mix Pic
3. Application type: Regular (112) Permit Operation.
' 4. Application Fee for Permitted Acreage* 22.5 permitted
acres.
(E50.00 + E15.00/acre, 1st. 50 acres;
' E10,00/acre, 2nd. 50 acres; E5.00/acre, 3rd. 50 acres;
E1.00/acre, any additional acreage; maximum fee of
E2,000.00).*
Hote permitted acreage and application fee and
' attach a check for this amount when you file. $395.00 application fee.
5. Substance(s) to be mined (e. g., gold/silver/grave]): Sand and Gravel
6. Owners(s) of Substance to be Mined
(check applicable box(s)): ® Private ^ State O Federal O Indian
' 7. Owner(s) of Record of Affected Land
(check applicable box(s)): ® Private p State ^ Federal ^ Indian
' S. Type of Mining Operation
(check applicable box(s)1: ® Surface O Underground ^ In-situ
' 9. Location Information. The center of the area where the maJority of mining will
occur lies in:
COUNTY: Fremont
' PRINCIPLE MER D N c ec one ® 6th (Colorado) ^ 10th (New Mexico) ^ Ute
TOWNSHIP (write number and check direction): T 19 ^ North ® South
RANGE (write number and check direction): R 69 O East ® West
' SECTION (write number): S
QUARTER SECTION (check one): O~ ® NW ^ SE ^ SW
QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE ® SW
GENERAL DESCRIPTION:
' (miles and direction Approximately 0.5 Mi. West of Florence
from nearest town and
approximate elevation) Approximately 5,260 Ft. Elevation
' * 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.
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