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I /~ . ~ i~~ ~1~d71~ <br />999 ~ ~CLIiMAO TIOIdT P&RMST 2 ) JUN 2 0 199F~ <br />APPLICATION FORM <br />CHECK ONE: New Application (Rule 1.4.5) % ~$~li~'cta~:i~ori1 (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit No. M- 77 _ 393 (provide for amendments and conversions of existing <br />permits) <br />The application for a Regular Operation Reclamation Permit contains three meij or parts: (1) <br />the application farm; (2) Exhibits A-S and Geotechnical Stability Hxhibit; 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 Hxhibits <br />A-R and any required sections of Hxhibit S and the Geotechnical Stability Hxhibit, and a <br />check for the application fee described under Section (16) on Page 3. Exhik~its should not <br />be bound or in a 3-ring binder; maps should be folded to 8 1/2" % 11" or 8 1/2" X 14" size. <br />To expedite processing, please provide the information is the format and order described <br />in this form. h,, ^~ y~~ <br />GfiNHRAL OPHRATION INFORMATION <br />Type or print clearly, in the apace provided, all information described below. <br />___°____°_===::z==::::_~___~_______~~___________~_________'__::°_______________________ <br />1. Applicant/operator or company name (name to be used on permit): <br />Varra Companies. Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Cornoiation <br />1.2 I.R.S. Tax ID No. or Social Security Number: <br />2 <br />3 <br />4 <br />Operation name (pit, mine or site name): Jenkins Site <br />Permitted acreage (new or existing site) 208.4 '* permitted acres <br />3.1 Change in acreage (+ or -) 18.6 ## acres <br />3.2 Total acreage in Permit area 227.0 acres <br />Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.3 Milling Application (Non-DID <br />x'4.4 Amendment Pee <br />4.5 Conversion to 112 operation <br />5. Primary commoditie(s) to be mined: <br />51.875.00 a)~plication fee <br />52.325.00 quarry application <br />) 53.100.00 milling application <br />51.550.00 amendment fee <br />(set by statute) 51.500.00 conversion fee <br />sand uravel clav <br />6. Name of owner of surface of affected land: City of Boulder Open apace <br />7. Name of owner of subsurface rights of affected land: City of Boulder Open Space <br /> If 2 or more owners, refer to Exhibit 0. <br />8. Type of mining operation: X Surface Underground In-situ <br />9. Location Information: the center of the area where the majority af.mining will <br /> occur lies in: <br /> COIINTY: Boulder <br /> PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) _ IIte <br /> SHCTION (write T <br /> TOWNSHIP (write number and check direction): T _1 _ North X South <br /> RANCH (write number and check direction): R 7~ East ~C West <br />~ <br /> QIIARTSR SHCTION (check one): NH _ _ SW <br />NW $ SH <br /> QIIARTHR/QIIARTER SfiCTION (check one): ~ NS NW SH SW <br /> GHNHRAL DHSCRIPTION (miles and direction from nearest town and. approximate <br /> elevation): ~~roximately three (3) miles Southwe# of Suoerier~_(blorado - <br /> Elevation approximately 5750 feet. <br /># refer to Exhibit A <br />## refer to Exhibit C ~ O p v <br />