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~~ `~,~ _ • III IIIIIIIIIIIII III` r <br />• ~~CEl~tu 999- <br />s~~~s~ ~ ~ 0~~~5 <br />!PR 2 3 1997 REGULAR OPERATION (112 ) <br />RECLAMATION PERMIT . <br />Mined Land APPLICATION FORM <br />The appliR~'~~n ~onrna Re'g'ui^ar Operation Reclamation Permit contains three major parts: <br />(1) the application farm; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include five (5) signed copies of the application <br />form five (5) copies of Exhibits A-S, and a check or a application fee described <br />under (3) below. To expedite processing, please provide the information in the format <br />and order described in this form. <br />GENERAL OPERATION INFORMATIOP! <br />Type or print Clearly, in the space provided, all information described below. <br />1. Applicant/OperdtOr name: Meeker Sand S Gravel Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): Meeker Pit <br />2.1 I.R S. Tax ID No. or Social Security No.: <br />3. Application fee for permitted acreage* 65 permitted acres <br />(550.00 + 515.00/acre, 1st. 50 acres; <br />510.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres; <br />51,00/acre, any additional acreage; maximum fee of b2 ,000.00)* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): sand 6 gravel <br />5. flame of owner of surface of affected land+ <br />6: Name of owner of subsurface rights of affected land+ <br />7. Type of mining operation: xx Surface _ Underground _ In-situ <br />8. Location Information: the center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Rio Blanco <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) _ 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 1 x North -sou th <br />RANG'c (write number and check direction): R 69 _ East x'x West <br />SECTION (write number): 5 36 <br />QUARTER SECTION (check one): -fdE NW SE xx SW <br />QUARTER/QUARTER SECTION (check one): _ NE = NW _ SE i SW <br />GENERAL DESCRIPTION: <br />(m1Te5 and direction Location anurox. 2 miles soutfi and west of <br />from nearest town and <br />approximate elevation) Meeker, co <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 />+ If 2 or more, refer to Exhibit P <br />