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• iii iiiiiiiiiii <br />REGULAR (112) PERMIT <br />APPLICATION FORM <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A -P. When you submit your application, be sure to include four signed copies of the <br />General Operation Information, four copies of Exhibits A -P, and asa check for the <br />application fee described under (4) below. To expedite processing, please provide the <br />Information in the format and order described in this form. <br />�¢ faasaa¢ aa¢ aa¢ a¢ aa¢ aaaaaa¢ aaa¢ a ¢saaasaaaaaaeeaaaasaaa�¢¢¢saata as a as ¢aaaa_ a <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />asaaaaa�aeaxaaaaaasaaaa¢¢ aaaaaa¢ aaaaaaaaasas¢ sacaaaaaaa¢¢ aaa ¢aa¢eaa¢asaaaoaoeaaaeaaeaaaa= <br />1. Applicant /Operator Name Hallett Materials <br />2. Operation Name (Pit, mine or site name): Winkler Light Aggregate Quarry <br />3. Application type: Regular (112) Permit Operation <br />4. Application Fee for Permitted Acreage* - 1606 permitted <br />acres. <br />(=50.00 +.:15.00 /acre, 1st. 50 acres; <br />:10.00 /acre, 2nd. 50 acres; =5.00 /acre, 3rd. 50 acres; <br />$1.00 /acre, aqy additional acreage; maximum fee of <br />:2,000.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. $2,000 application fee. <br />S. <br />Substance(s) to be mined (e.g., gold /silver /gravel) <br />Rhyolite <br />6. <br />Owners(s) of Substance to be Mined <br />(check applicable box(s)): <br />vrivat& <br />State Federal Indian <br />7. <br />Owner(s) of Record of Affected Land <br />(check applicable box(s)): <br />pzbmta <br />State Federal Indian <br />8. <br />Type of Mining Operation <br />(check applicable box(s)): <br />Suftee <br />Underground In -situ <br />9. <br />Location Information. The center of <br />the area where <br />the majority of mining will <br />occur lies in: <br />COUNTY: Doug la . <br />LE s <br />PRINCIP c ec one x 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T S North SOR A <br />RANGE (write number and check direction): R . 6 East kmt <br />SECTION (write number): S27 28,29,33,34 <br />QUARTER SECTION (check one): - NW Sw <br />QUARTER/QUARTER SECTION (check one): NE NW SW <br />GENERAL DESCRIPTION: <br />(miles and direction elevation 6700 feet <br />from nearest town and <br />approximate elevation) 4 mile SE of C ast le Ronk <br />* If the operator is a unit of State or county government, an application fee 1s not <br />required. A fraction of an acre must be counted as one acre for fee calculation. <br />