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..e ,' • III III III III IIII III . .'~ ,.a ~ JAN ? 91987 LIMITED IMPACT OPERATION (110) ..4,~, !v"rNr_D LAND ~~ -AIvIATION DIVISIOF~ APPLICATION FORM This form contains two major parts: (1) General Operation Information and (2) Exhibits A-G. When you submit your application, be sure to include two signed copies of the General Operation Information, two copies of Exhibits A-G, and a c e k for the application fee described under (4) below. To expedite processing, please provide ±he information in the format and order described in this form_- fi.~7__D_(_~_q__-_C_~_!_~_a__~_/_5___~_f_~_S.c~ GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. 1. Applicant/Operator Name: Carder, Inc. 2. Operation Name (Pit, mine or site name): Jones East Pit 3. Aoplicatiorc type: Limited Impact Operation (110). 4. Application Fee for Permitted Acreage* 9,9 permitted acres. ($10 x (affected acres) + 525.00).* Note permitted acreage and application fee and $125 00 . attach a check for this amount when you file. application fee. 5. Substance(s) to be mined (e. g., gold/silver/gravel): Gravel 6. Owners(s) of Substance to be l4ined (check applicable box(s)): ID Private ^ State ^ Federal ^ Indian 7. Owner(s) of Record of Affected Land (check applicable box(s)): ~1 Private ^ State ^ Federal ^ Indian 8. Type of Mining Operation (check applicable box(s)): ® Surface ^ Underground ^ In-situ 9. Location Information. The center of the area where the majority of mining will occur lies in: COUNTY: Prowers PRINCIPLE MERIDIAN check one F~ 6th (Colorado) ^ 10th (New Mexico)^ Ute TI)WNSHIP (write number and check direction): T ~ ^ North Q South - Ri1NGE (write number and check direction): R ~ ^ East ~7 West SI_CTION (write number): S QIJARTER SECTION (check one): ^~~ ^ NW ail SE ^ SW QIJARTER/QUARTER SECTION (check one):~~ ^ NE ^ NW ~j SE ^ SW GENERAL DESCRIPTION: (miles and direction 12 miles south and 12 miles east from nearest town and approximate elevation) of Bristol, Colorado * If the operator is a unit of State or county government, an application fee is not required. 11 fraction of an acre must be counted as one acre for fee calculation.