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• • III IIIIIIIIIIIIIIII <br /> 1. 'rP 999 <br /> -4- <br /> REGULAR OPERATION (112) SEP 1 S 1�,0'4 <br /> RECLAMATION PERMIT <br /> APPLICATION FORM <br /> Q IV IS Wu vi uunci aia u ue01Cy}I <br /> CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br /> X Conversion Application (Rule 1.11) <br /> Permit # M 78 323 (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 orde in <br /> this form. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> 1. Applicant/operator name: Corn Construction Co. <br /> • 1.1 Type of organization (corporation, partnership, etc.) : Corporation <br /> 1.2 I.R.S. Tax I.D. No. : 93-0967712 <br /> 2. Operation name (pit, mine or site name) : Woodring Pit <br /> 3. Permitted acreage (new or existing site) 8.57 permitted acres <br /> 3.1 Change in acreage (+ or -) +18.34 acres <br /> 3.2 Total acreage in Permit area 26.94 ass <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) $3.100.00 milling application <br /> 4.4 Amendment Fee $1,550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) $1,500.00 conversion fee <br /> 5. Primary commoditie(e) to be mined: Sand & Gravel <br /> 6. Name of owner of surface of affected land: Martin & Jean Woodring <br /> 7. Name of owner of subsurface rights of affected land: Martin & Jean Woodring <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: <br /> COUNTY: Mesa <br /> PRINCIPAL MERIDIAN (check one) : _J( 6th (Colorado) loth (New Mexico) _ Ute <br /> • SECTION (write number) : S fS& 16 — <br /> TOWNSHIP (write number and check direction) : T 37— North X South <br /> RANGE (write number and check direction) : R 77— East A West <br /> QUARTER SECTION (check one) : HE g NW _ SE _ SW <br /> QUARTER/QUARTER SECTION (check one) : NE NW SE SW <br /> GENERAL DESCRIPTION (miles and direction from nearest town and approximate -elevation) : <br /> The pit is located approximately 2 miles east of the junction of Highway 65 and <br /> Highway 330, off Highway 30.on the road to Molina. Approximate elevation is 5,400' <br /> ORIGINAL <br />