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• «i rirr«rllllll Ill •p C <br /> ENFO <br /> REGULAR <br /> RECLAMAO TIONTION PERMIT 2) OCT 141994 <br /> APPLICATION FORM MM DI IV IS$..izzliinnv vt <br /> CHECK ONE: New Application (Rule 1.4.5) Amendinen �YSrcacFs�l-Q�tule <br /> X Conversion Application (Rule 1.11) <br /> Permit # M 83 178 (provide for amendments and conversions of existing <br /> permits) <br /> The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br /> the application form; (2) Exhibits A-S and Geotechnical Stability Exhibit; and, (3) the <br /> application fee. When you submit your application, be sure to include one (1) signed and <br /> notarized original and four (4) copies of the application form, five (5) copies of Exhibits <br /> A-R and any required sections of Exhibit S and the Geotechnical Stability Exhibit, and a <br /> check for the application fee described under Section (16) on Page 3. Exhibits should not <br /> be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. <br /> To expedite processing, please provide the information in the format and order described in <br /> this form. <br /> RAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> 1 . Applicant/operator name: BENT COUNTY <br /> 1.1 Type of organization (corporation, partnership, etc. ) : Cn.,w+.+,., �1,+ n^+,) ;; <br /> -QQr.--lam— '€- ... €-�`..+ <br /> 1.2 I.R.S. Tax I.D. No. : 84-6000746 <br /> 2 . operation name (pit, mine or site name) : BENT COUNTY PIT <br /> 3 . Permitted acreage (new or existing site) 9 . 8 permitted acres <br /> 3 .1 Change in acreage (+ or -) +1(; . 27 acres <br /> 3 .2 Total acreage in Permit area 26 . 07 acres <br /> 4 . Fees: <br /> 4 .1 New Application $1,875.00 application fee <br /> 4 .2 New Quarry Application $2,325.00 quarry application <br /> 4 .3 . Milling Application (Non-DMO) 53.100.00 milling application <br /> 4 .4 Amendment Fee $1,550.00 amendment fee <br /> 4 .5 Conversion to 112 operation (set by statute) S1.500.00 conversion fee <br /> 5. Primary �commoditie(s) to be mined: GRAVEL <br /> G. Name of owner of surface of affected land: EDWARD DEAN; ALAN' DEAN <br /> 7 . Name of ;owner of subsurface rights of affected land: EDIVARD DEAN d ALAN DEAN <br /> If 2 or more owners, refer to Exhibit O. <br /> 8 . Type of mining operation: X Surface _ Underground <br /> 9 . Location Information: the center of the area where the majority of mining will occur <br /> lies in: BENT <br /> COUNTY. <br /> IDIAN (check one) : X 6th (Colorado) loth (New Mexico) _ Ute <br /> e; number) : — S 2 9 <br /> TZ TO ( 'te number and check direction) : T — North x South <br /> RANG ( it number and check direction) : R 52_ — East v West <br /> .pQU[�ART§, SE ON (check one) : x NE NW _ SE SW <br /> ,•QIIARTER/QUARTER SECTION (check one) : NE , NW SE SW <br /> GENERAL DESCRIPTION (miles and direction from nearest town-End approximate elevation) : <br /> 2 miles east and 2 Miles north of Las Animas, Co. 4050 ' above sea level <br />