Laserfiche WebLink
d Lam.. ~ i-- i v L. d. <br />JAN' 5 14q~ <br />REGULAR (112) PERMIT Mined Lc^~1 <br />APPLICATION FORM <br />Reclamation L';.,.;`.:.n <br />,s 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 ~s~iggne~d copies of the <br />General Operation Information, four copies of Exhibits A-P, and as cock for the <br />application fee described under (4) below. To expedite processing, please provide the <br />i.f,.:ataoeaisathaaformatasndsa~edaa,adz.a.~ib=dai=athi~-form__m _~~:=QQ ~aa==~y`~i'f~ <br />GENERAL OPERATION INFORMATION ~/(pyD•(~ <br />Type or print clearly, in the space provided, all information described below. <br />^:^taaas^zaaaa:azaaaaaazz:aaazaaszaaazzazaazaaasazzaaz:asaaaaa=asz=a=aza==azacva=sa=azaaa <br />1. Applicant/Operator Name: Robinson Brick Company <br />2. Operation Neme (Pit. mine or site name): Tomahawk Mine <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* 240 permitted <br />acres. <br />(550.00 + ;15.00/acre. 1st. 50 acres; <br />510.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres; <br />51.00/acre. aqy additional acreage; maximum fee of <br />E2,000.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. ai.a4n.nn application fee. <br />• Substance(s) to be mined (e. g., gold/silver/gravel): Clay <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))~: ^ Private Xl1XState (Federal ^ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): XQ Surface ^ Underground ^ In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: <br />~ <br />PRINCIPLE c ec: one <br />;®X6th (Colorado) ^ 10th (Hew Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T lg ^ North %&X South <br />RANGE (write number and check direction): R 67 ^ East X~X West <br />SECTION (write number): S 36 <br />QUARTER SECTION (check one): ^~lE- ^ NW ^ SE ^ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE ^ SW <br />GENERAL DESCRIPTION: SW;NE;,N;NW;,SE;NW;,NE;SW; ,NW',SE; <br />(miles and direction approximately 12 miles e ast and 5 miles north of Penrose <br />from nearest town and <br />approximate elevation) 5450 <br />If the operator 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 />