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iii iiiiiiiiniii iii <br />• • 999 <br />.. <br />REGULAR (112) PERMIT <br />APPLICATION FORM <br />This form contains two mayor parts: (1) General Operation Information and (2) Exhibits <br />A-P, When you submit your application, be sure to include four -siggn-ed copies of the <br />General Operation Information, four copies of Exhibits A-P, and ask for the <br />application fee described under (4) below. To expedite processing, please provide the <br />information in the format and order described in this form. <br />Z i C C <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below, <br />1. Applicant/Operator Name: c a s travel Products, Inc. <br />2. Operation Name (Pit, mine or site name): ~pntova Pit Amendment <br />3, Application type: Regular (112) Permit Operation, <br />4. Application Fee for Permitted Acreage* s permitted <br />acres. <br />(550,00 + 515,00/acre. 1st. SO acres; <br />510.00/acre, 2nd. 50 acres; 55,00/acre, 3rd. 50 acres; <br />51,00/acre, ar1Y additional acreage; maximum fee of <br />52,000.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. $100.00 application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): sand and gravel <br />6. Ownersis) of Substance to be Mined <br />(check applicable box(s)): ^ Private ^ State ®c Federal ^ Indian <br />7, Owner(s) of Record of Affected Land <br />(check applicable box(s)): ^ Private ^ State ~cFederal ^ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): ®x Surface D llnderground O In-situ <br />9. Location Information. The center of the area where the ma3ority of mining will <br />occur lies in: <br />COUNTY: LaPlata <br />PRINCIPLE MER D N c ec one ^ 6th (Colorado) px 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T ~_ (~xNorth D South <br />RANGE (write number and check direction): R ~ ^ East ~ West <br />SECTION (write number): S _3,,.__ <br />QUARTER SECTION (check one): O NE D NW ^ SE ®c SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ~ SE D SW <br />GENERAL DESCRIPTION: <br />(miles and direction 6 miles SE of Durango, Colorado <br />from nearest town and <br />approximate elevation) Fro„~,.;,,,,. ~ ~,n foo+ <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 />