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^ t • /.~~- QQe <br />MAR 1 U 1989 <br />REGULAR (112). PERMIT MINED LAND <br />APPLICATION FORM RECLAMATION DIVISION <br />This form contains two mayor parts: (1) General Operation Information and (2) Exhibits <br />A-P. When you submit your application, be sure to include four si ned copies of the <br />General Operation Information, four copies of Exhibits A-P, and a~k for the <br />application f'ee described under (4) below. To expedite processing, please provide the <br />information in the format and order described in this forth. <br />-____________~___________________________________________~__~_=~~ ~R==~3~~g==-== <br />GENERAL ODERATION INFORMATION ~l3 7if <br />Type or print clearly. 1n the space provided, all lnfortnation described below. <br />1. Applicant/Operator Name: c a M Companies <br />2. Operation Name (Pit, mine or site name): D;stel Farm resource <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* iia permitted <br />acres. <br />(E50.00 + 515.00/acre, 1st. 50 acres; <br />(10.00/acre, 2nd. 50 acres; E5.00/acre, 3rd. 50 acres; <br />f1.00/a,:re, any additional acreage; maximum fee of <br />52,000.00).* <br />Note permitted acreage and application fee and <br />attach .s check for this amount when you file. $1370.00 application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): sand & gravel <br />6. Owners(s) 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)): Q Private O State O Federal O Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): [~ Surface ^ Underground O In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: <br />PRINCIPLE ER D N c ecc one C:7 6th (Colorado) O 10th (New Mexico) O Ute <br />TOWNSHIP (write number and check direction): T ~ p North O South <br />RANGE (write number and check direction): _ <br />R ~ ^ East p West <br />SECTION (write number): - <br />S <br />QLIARTER SECTION (check one): O~ O NW ^ SE ^c SW <br />QUARTER/QUARTER SECTION (check one): O NE ^ NW ~ SE O SW <br />GENERAL DESCRIPTION: <br />(miles and direction 3 miles east of Lon gmont <br />from nearest town and <br />approximate elevation) FiAVafinn• dAR(1 <br />* If the oF~erator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation. <br />