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•r' .,v, 19c8 SPECIAL OPERATION (111) !,r;`•:t_~' , 1. ; APPLICATION FORM RtCL~a^Jt. j j;,yy r,;r,r,,;,,~w Two copies of Exhibits A-H must be attached to the General Operation Information upon submittal to the Division, Each exhibit must be presented separate from the other exhibits. For example, Exhibit A - Legal Description should be on page 1 and Exhibit B - Site Description should start on page 2. Please type the title of each exhibit at the top of each exhibit page. Please number the pages of Exhibits A-H consecutively for ease of reference. The following sections describe the minimum information that must be supplied for each exhibit. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below, 1. Applicant/Operator Name: Grand Junction Pipe and supply Co. 2, Operation Name (Pit, mine or site name): Grand Junction Pipe Pit 3, Application type: Special Operation (111), 4, Application Fee for Permitted Acreage* 9.6 permitted acres. (S15 x (affected acres) + 5200,00),* Note affected acreage and application fee and attach a check for this amount when you file. None application fee. 5. Substance(s) to be mined (e.g., sand, gravel): travel l J 6. Owners(s) of Substance to be Mined (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian 7, Owner(s) of Record of Affected Land (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian 8. Type of Mining Operation (check applicable box(s)): ® Surface ^ Underground 9. Location Information, The center of the area where the majority 'of mining will occur lies in: COUNTY: Mesa PRINCIPLE MERIDIAN (check one): ^ 6th (Colorado) ^ 10th (New Mexico) ® Ute TOWNSHIP (write number and check direction): T one ® North p South RANGE (write number and check direction): R one ^ East ® West SECTION (write number): S 6 QUARTER SECTION (check one): ^ NE ^ NW ^ SE p SW QUARTER/QUARTER SECTION (check one): ® NE ^ NW ^ SE ^ SW GENERAL DESCRIPTION: (miles and direction 2 miles southwest of Grand Junction from nearest town and approximate elevation) Avera¢e elevation = 4,523 * If the operator is a governmental subdivision or requires a permit solely for fulfilling a contract with the State Department of Highways, an application fee is not required. A fraction of an acre must be counted as one acre for fee calculation.