Laserfiche WebLink
. <br />w <br />• , <br />~iir~na~ a~ ~e- i ~~. <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />'~Pr, ,a..r- <br />. RFrci1/FD <br />OCT 2 3 1995 <br />Division of Nunerais s neology <br /> <br />The application fora Regular Operation Reclamation Permit contains three major parts: <br />(1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include five (5) siyned_ copies of the application <br />form five (5) copies of Exhibits A-S, and a check of r ~ application fee described <br />under (3) below. To expedite processing, please provide the information n the format <br />and order described in this form. <br />GENERAL OPERATION INFORMA7IDP1 <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/operator name: <br />1.1 Type of organization (corporation, partnership, etch) <br />2. Operation name (pit, mine or site name): <br />2.1 I.R.S. Tax ID No. or Social Seca rity No.: <br />3. Application fee for permitted acreag <br />($50.00 + 315.00/acre, 1st. 0 acres <br />310.80/acre, 2nd. 50 acres; .00/ace 3r 50 <br />31.00/acre an additional a aged~ i m fee <br />Note permitt~dY3sreage and ap iceLlo ee an~ <br />atta:h a ch ck fo this amount den ou file <br /> <br />permitted acres <br />~s; <br />b2 ,000.00) <br />.~'/SOS D • 00 <br />~/-r,- application fee <br />4. Substance( to be mine e.g. g vel/g d/borrow): GRAVEL <br />5. flame Of OWn Of urfaee f f ted and+ HULTEEN_.ORCHARDS games Hultee• <br />6. Name of owner of bsurf ce r ght of ffeeted land+ HULTEEN ORCHARDS games Hulteei <br /> and Ralph Cirling) <br />7. Type of mining peration: = Surface _ Underground _ In-situ <br />8. Location Informs ion: cen ter of the area where the majority of mining will <br /> ocar lies in: <br /> COUNTY: DELTA <br />PRINCIPAL MERIDIAN (check one): x 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T is North x -south <br />RANGE (write number and check direction): R qq _ <br />East x West <br />SECTION (write number): S 19 ~ 30 , <br />QUARTER SECTION (check one): NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): _ <br />NE - SE <br />NW - SW <br />- <br />GENERAL DESCRIPTION: _ _ _ <br />(Riles and direction APPROxIMATELY 2 MILES NORTH OF AUSTIN. CO <br />from nearest town and <br />aFproximate elevation) 2~ MILES SE OF E CKERT - 5.500 FEET ELEVATION <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 />