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I I _ ~~ 2 /~~Q AF~F/~ Rs~ III ~Illll~illlll III 3ivis;onoi~ 0 19A~.. ~B z~ 1990 APPLICATION FOHm meats ~ ~~o/~n•,~,,, o M gar 6 CHHCK ONfi: Nex Application (Rule 1,4.5) XX n.nnnAnwnt Applica'Lfien (Rti[~oly,b0) Conversion Application (Rule 1.11) ra/~y Permit No. M- 83 - 084 (provide for amendments and conversions of existing permits) The application for a Regular Operation Reclamation Permit contains three major parts: (1) the application form; (2) Hxhibits A-S and Geotechaical Stability Hxhibit; and, (3) the application fee. fihen you submit your application, be sure to include one (1) signed and notarized original and four (4) copies of the application form, five (5) copies of Hxhibits A-R and nay required sections of Hxhibit S and the Geotechnical Stability Hxhibit, and a check for the application fee described under Section (16) on Page 3. Hxhibits should not 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. To expedite processing, please provide the information in the format and order described in this form. GHNER.AL OPERATION rYFORMATICN Type or print clearly, in the space provided, all information described below. 1. Applicant/operator or company name (name to be used on permit): Zl~an Sand F, Gravel, Inc. 1.1 Type of organization (corporation, partnership, etc.) : C o r p o r a t i o n 1.2 I.R.S. Tax ID No. or Social Security Number: Snowstorm Placer 2. Operation. name (pit, mine or site name): 3, Permi tted acreage (aev or existing site) 260 permitted acres 3.1 Change in acreage (+ or -) acres 3.2 Total acreage in Permit area acres 4, Fees: ;._ Nfx P~plication 5..E75.CD app'_`_cation fee 4.2 New Quarry Application 52,325.00 quarry application 4.3 Milling Application (Non-DMO) 53.100,00 milling application 4.4 Amendment Fee S1,550.00 amendment fee 4.5 Conversion to 112 operation (set by statute) 51.500.00 conversion fee 5, Primary commoditie(s) to be mined: gold ~pravel sand 6, Name of owner of surface of affected land: Zigan Sand 6 Gravel, Inc. 7, Name of owner of subsurface rights of affected land: Zigan Sand S Gravel, Inc. If 2 or more owners, refer to Hxhibit O, e, Type of mining operation: XX Surface Dnderground In-situ 9, Location Information: the center of the area where the majority of. mining xill occur lies in: park COUNTY: PRINCIPAL MHRIDLAN (e^heck one): XX 6th (Colorado) 10th (New Mexico) _ IIte SHCTION (write number): - 5 1gT2Q,29, b 30 TOWNSHIP (xrite nimib direction): T ~_ _ Porth XX South RANCH (xrite number and check direction): R ]1_ Hast ~ West QUARTHR SHCTION (check one): _ NH _ NW _ SH _ SW QIIARTHR/QiII+RTHR SHCTION (check one): NH NW SH SW GHNHRAL DHSCRIPTION {miles and direction from nearest toxn and ap pproximate elevation): Th;c Gite is located anoroximately 3 miles north of Fairp lay CO along the east side of Colorado Highway 9. Elevation = 10,200 MSL ORI~IAL