Laserfiche WebLink
~ ~~~~-~ <br />III IIIIIIIIIIIII III ~~~ 1~'`'~'`' <br />6 <br />MINED I,pfvU ~ r9', 1 ~` <br />REGULAR (112) PERMIT RECLAMATION OIVI'til <br />APPLICATION FORM <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 __s1__~~ne~~d~~ copies of the <br />General Operation Infonnatlon, four copies of Exhibits A-P, and ask 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. ~j,Q(/'~_ //y~(~~j___I/~]{~ _~_3_G_3__~ <br />aaaCaa C6 a 6 aCaa6iCl9a 9aaa6aaCalaaaaiataa6laaata.3aaCia ~a~ia a s p <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided. all information described below. <br />aaaaasasssssseeeaeaaaaassaeaaaaaassasasssssssaaasaaaaaaaaaa:aaaasaassassaesssaaaaenassass <br />1. Applicant/Operator Name: Asphalt Paving co. , <br />2. Operation Name (Pit, mine or stte name): Perry Pit , <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* „ R permitted <br />acres. <br />(:50.00 + Y15.00/acre, 1st. 50 acres; <br />=10.00/acre, 2nd. 50 acres; =5.00/acre, 3rd. 50 acres; <br />61.00/acre, aqy additional acreage; maximum fee of <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. ~1390.,0o application fee. <br />5. Substance(s) to be mined (e.g., gold/silver/gravel): sang ana gravel <br /> <br />6. Owners (s) of Substance to be Mined <br /> (check applicable box(:)): xxPrlvate State Federal Indian <br />7, Owner(s) of Record of Affected Land <br /> (check applicable box(:)): xxPrivate State Federal Indian <br />8, Type of Mining Operation <br /> (check applicable box(:)): xxSurface Underground In-situ <br />9. Location Information. The center of the area where the ma,orlty of mining ri ll <br /> occur lies 1n: <br /> COUNTY: w ld <br />~ <br /> PRINCIPLE c ec: one <br />xx~,6th (Colorado) 10th (New Mexico) Ute <br /> TONNSHIP (write number and check direction): T ]_ xxNorth South <br /> RANGE (write number and check direction): R6F,-fi7 East x }dlest <br /> SECTION (write number): S 3~,~5 <br /> QUARTER SECTION (check one): 25~ 30 ~ SE SN <br /> QUARTER/QUARTER SECTION (check one): ME -NW SE SW <br /> GENERAL DESCRIPTION: <br />(miles and direction Approximately two miles NNW from Brighton, <br />from nearest tarn and <br />approximate elevation) Colorado at an elevation of 9930 feet._ <br />* If the operator 1s a unit of State or county government, an application tee 1s not <br />required. A fraction of an acre must be counted as one acre for tee calculation. <br />