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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 siggned :opies of the <br />General Operation Information, four copies of Exhibits A-P, and a~ck for the <br />application fee described under (4) below. To expedite processing, plejse provide the <br />information in the format and order described in this form. <br />- ------------------- ----- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: Midway Sand 8~ Gravel. Inc. <br />2. Operation Name (Pit, mine or site name): Midwa ~~ ~~_ <br />3. Application type: Regular (112) Permit Operation. J UN 7 19E8 <br />4. Application Fee for Permitted Acreage* ~ . ~I~N~permitted <br />(E50.00 +;15.00/acre, 1st. 50 acres; ~ CIECLAMATIONDIVISICj~V''es. <br />X10.00/acre, 2nd. 50 acres; E5.00/acre, 3rd. 50 acres; <br />;1.00/acre, any additional acreage; maximum fee of <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. ~i9y0,00 application fee. <br />5. Substance(s) to be mined (e.g., gold/silver/gravel): Sazid and Gravel <br />6. Owners(sI of Substance to be Mined <br />(check applicable box(s)): ~] Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): ~ Private p State ^ Federal ^ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): ® S~rface ^ Underground ^ In-situ <br />9. Location Information. The center of the ~rea where the majority Of mining will <br />occur lies 1n: <br />COUNTY: E1 Paso <br />PRINCIPLE ME RID N c ec one ~ Ifl a6th (Colorado) ^ 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction}: T 1~ ^ North ~ South <br />RANGE (Trite number and check direct{+on): R 65 ^ East Cli. West <br />SECTION (~ rite number): T S 2(,~ ~7 <br />QUARTER SECTION (check one): O~ ^ NW ^ SE ^ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE Q SW <br />GENERAL DESCRIPTION: <br />(miles and direction 9 miles South of Fountain Colo. Exit #119 <br />from nearest town and <br />approximate elevation) ayoro. 5300 feet elevation __ <br />* If the operator is a unit of State or county government, en application fee is not <br />required. ,4 fraction of an acre must be counted as orie acre for fee calculation. <br />