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. ~~ ~ ... _.,, ,~.~ F A T ~~~. (, ,.K ~~y~t~81 ~~r~ ,r ~ III IIIIIIIIIIIII111 ~ ~~, MINEu u,~~v REGULAR (112) PERMIT RECLAMATION DIVISION APPLICATION FORM This form contains two ma3or parts: (1) General Operation Information and (2) Exhibits A-P. When you submit your application, be sure to include four si ned copies of the General Operation Information, four copies of Exhibits A-P, and a~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_M_~~~-~~~a7-,~~,~y~ _____________________________~____=__=_=__=____==_=_____--------------------------t----~- GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. ------ - ------------ 1. Applicant/Operator Name: Readv Mixed Concrete Company 2. Operation Name (Pit, mine or site name): aromle y Lakes 3. Application type: Regular (112) Permit Operation. 4. Application Fee (E10 x (affected acres) + 525.00).* 389 affected acres. Note affected acreage and application fee and attach a check for this amount when you file. $t,789.0o application fee. 5. Substance(s) to be mined (e. g., gold/silver/gravel): sand and Gravel 6. Owners(s) of Substance to be (Ai ned (check applicable box(s)): XOD Private ^ State ^ Federal ^ Indian 7. Owner(s) of Record of Affected Land (check applicable box(s)): X~ Private O 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 ma3ority of mining will occur lies in: COUNTY: PRINCIPLE M R D AN c ecc one ~ 6th (Colorado) A®1iliCXq~lvY)11tKic'b~X ~>< TOWNSHIP (write number and check direc on t ^ North ~ South RANGE (write number and check direction): R 67 ^ East II West SECTION (write number): S t3 QUARTER SECTION (check one): ^ 1~- f3 NW ^ SE ^ SW(entire QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE ^ SWNW cl GENERAL DESCRIPTION: (miles and direction ~ ~~ m; t e w s of ar i h ton 0 from nearest town and approximate elevation) a97o~ _ * 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.