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: <br />• __..ri~/F~ <br />Utz 2 8 1995 <br />REGIILAR OPERATION (112) <br />RECLAMATION PfiRMIT ' <br />APPLICATION FORM Division of Minerals 8 Geology <br />CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />X Conversion Application (Rule 1.11) <br />Permit No. M- 92 _ 102 (provide for amendments and conversions of existing <br />permits) <br />The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S and Geotechnical Stability Exhibit; and, (3) the <br />application fee. When you submit your application, be sure to include one (1) signed and <br />notarized original and four (4) copies of the application form, five (5) copies of Exhibits <br />A-R and nay required sections of Exhibit S and the Geotechnical Stability Exhibit, and a <br />check for the application fee described under Section (16) oa Page 3. Exhibits should not <br />be bound or in a 3-ring binder; maps should be folded to S 1/2" X 11" or 8 1/2" X 14" size. <br />To expedite processing, please provide the information in the format and order described <br />in this form. ' <br />_________________________________________________ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />------ --------------- -------- <br />1. Applicant/operator or company name (name to be used on permit): <br />Western Gravel. Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax ID No. or Social Security Number <br />2. Operation. name (pit, mine or site name): South D-20 Pit <br />3. Permi tted acreage (nex o existin 1site) ~-~ permitted acres <br /> 3.1 Change is acreage (+ or acres <br /> 3.2 Total acreage in Permit area acres <br />4. Fees: <br /> 4.1 New Application 51.675.00 application fee <br /> 4.2 New Quarry Application $2,325.00 quarry application <br /> 4.3 Milling Application (Non-DMO) 53.100.00 milling application <br /> 4.4 Amendment Fee 51,550.00 amendment fee <br />~ <br /> 4.5 Conversion to 112 operation (set by statute) .51,500.00 conversion fee ~ <br />5. Primary commoditie(s) to be mined: Sand and Gravel ~G <br />~' <br />6. Name of owner of surface of affected load: Uncompahgre Valley Water Users Assn./U .S. Gov. <br />7. Name of owner of subsurface rights of affected land: Same as No. 6 Above <br /> If 2 or more omers, refer to Exhibit O. <br />8. Type of mining operation: X Surface Underground In-situ <br />9. Location Information: the center of the area where the majority of. mining will <br />occur lies in: <br />may: Montrose <br />PRSNCIPAL MERIDIAN (check one): _ 6th (Colorado) X 10th (New Mexico) <br />IIte <br />SECTION (write number): S _ <br />TOWNSHIP (write mmiber sa ion): T X North South <br />RANGE (write number sad check directionl: R fiast g West <br />QIIARTER SHCTION (check one): NE X NW '~ Sfi <br />SW <br />QUARTER/QUARTER SECTION (check one) : _ <br />NE _ <br />PW <br />n <br />GHNERAL DESCRIPTION (miles and direction from nearest town <br />d approximate <br />elevatioa): Approximately 2.7 miles s outh- southw st of Montro <br />Anoroximately 6 100 ft. e levat ion <br /> <br />