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-4.- <br /> REGULAR OPERATION (112) - <br /> RECLAMATION PERMIT JAN 2 0 IN5 <br /> APPLICATION FORM <br /> CHECK ONE: X New Application (Rule 1.4.5) _ Amendme-rb �p:Epi ication (Rule .10) <br /> V(C IY1 UI In r110r P1A�"44'U17�� <br /> Conversion Application (Rule 1.11) <br /> Permit w M (provide for amendments and conversions of existing <br /> permits) <br /> The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br /> the application form; (2) Exhibits A-S and Geotechnical Stability Exhibit; and, (3) the <br /> application fee. When you submit your application, be sure to include one (1) signed and <br /> notarized original and four (4) copies of the application form, five (5) copies of Exhibits <br /> A-R and any required sections of Exhibit S and the Geotechnical Stability Exhibit, and a <br /> check for the application fee described under Section (16) on Page 3. Exhibits should not <br /> be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. <br /> To expedite processing, please provide the information in the format and order described in <br /> this form. v!,�!/!� <br /> oaxaaanasaaaaevaaaavvaaaoaaaaaaacvavaaavava=aaecoaIr — <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> Applicant/operator name: Mountain Region Corporation / Sandra DuCray, President <br /> 1.1 Type of organization (corporation, partnership, etc.) : Corporation <br /> 1.2 Z.R.S. Tax I.D. No. : 84-0913534 <br /> 2. Operation name (pit, mine or site name) : Orchard Mesa Aggregates <br /> 3 . Permitted acreage (new or existing site) 46.1 acrespennittedacres <br /> 3,1 Change in acreage (+ or -) acres <br /> 3.2 Total acreage in Permit area 46. 1 awes <br /> 4. Fees: <br /> 4.1 New Application $1, 875.00 application fee <br /> 4.2 New Quarry Application $2, 325 .00 quarry application <br /> 4.3 Milling Application (Non-DMO) S3.100 .00 milling application <br /> 4.4 Amendment Fee $1,550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) $1,500 .00 conversion fee <br /> 5. Primary commodities) to be mined: Pitrun <br /> 6. Name of owner of surface of affected land: Charles and Sandra DuCray <br /> 7. Name.of owner of .subsurface rights of affected land: Charles and Sandra DuCray <br /> If 2 or more owners, refer to Exhibit O. <br /> 8. Type of mining operation: x Surface Underground <br /> 9. Location Information: the center of the area where the majority of mining will occur <br /> lies in: Mesa <br /> COUNTY: <br /> PRINCIPAL MERIDIAN (check one) : _ 6th (Colorado) _ 10th (New Mexico) x Ote <br /> SECTION (write number) : S ,5 <br /> TOWNSHIP (write number and check direction) : T T— North x South <br /> RANGE (write number and check direction) : R I— x East _ West <br /> QUARTER SECTION (check one) : g NE NW _ SE _ SW <br /> . QUARTER/QUARTER SECTION (check one) : NE 3r— NW SE SW <br /> GENERAL DESCRIPTION (miles and direction from nearest town and approximate elevation) : <br /> 5 1/2 miles southeast of Grand Junction Colorado approximate ground <br /> Planation— 4940 <br /> ORIGINAL" <br />