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NOEIVty <br /> REGULAR OPERATION (112) <br /> 4AY 2 B 196: <br /> RECLAMATION PERMIT Mined Land <br /> APPLICATION FORM Reclamatinn r,:..',; ,) <br /> ' The application for a 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) signed copies of the application <br /> form , five (5) copies of Exhibits A-S, and a check for the application fee described <br /> under Section (14) on Page 3. To expedite processing, please rovide the information in <br /> -=on1 <br /> the format and order described in this form. /V1 _ c�_ o f a <br /> 1 Gammas <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> I . Applicant/operator name: Varra Companies, Inc. <br /> 1 . 1 Type of organization (corporation, partnership, etc. ) ; corporation <br /> 2. Operation name (pit. Varra Companies , Inc. Amendment #2 �t`N0 / <br /> p p mine or site name).: <br /> 2.1 I.R.S. Tax ID No. or Social Security No. : 84-0752000 <br /> 3. Permitted Acres: 155 Permitted acre <br /> Please indicate acreage to the nearest tenth (loth) acre. <br /> ' 3. 1 Application fee (see Section 14): $1550 Application fef <br /> 1 4. Substance(s) to be mined (e.g. . gravel/gold/borrow) : Sand s Gravel <br /> 5. Name of owner of surface of affected land: Harold E. & taVerna Nelson <br /> 6. Name of owner of subsurface rights of affected land: Harold F. s tlaVerna Nelson <br /> If 2 or more owners, refer to Exhibit P. <br /> ' 7. Type of mining operation: _Z_ Surface ,_ Undergroun� <br /> 8. Location Information: the center of the area where the majority of mining will <br /> occur lies in: <br /> COUNTY: Weld <br /> ' PRINCIPAL MERIDIAN (check one): x 6th (Colorado) _ 10th (New Mexico) Ute <br /> TOWNSHIP (write number and Check direction) : T 3 = North South <br /> RANGE (write number and chock direction) : A 67 East X West <br /> SECTION (write number): S 3LE_ — — <br /> QUARTER SECTION (check one) : _ N NW SE SW <br /> QUARTER/QUARTER SECTION (check one) : _ NE NW SE SW <br /> GENERAL DESCRIPTION: <br /> ' (miles and direction nne mile South of fnlnradn High— AA nff <br /> from nearest town and <br /> approximate elevation) Weld County Road 13 <br />