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EGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />CHECK ONE: X New Application (Rule 2) _ Amendment Application (Rule 1.8) <br />_ Conversion Application (Rule 1.10) <br />The application for a Regular Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A-S; and, (3) the application fee. When you submit your application, be sure to include one (1) <br />signed original and four (4) signed copies of the application form, five (5) copies of Exhibits A-S, and a check for <br />the application fee described under Section (14) on Page 3. To expedite processing, please provide the informa- <br />tion in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. ApplicanUoperator name: Grand County Road and Bridge <br />1.1 Type of organization (corporation, partnership, etc.): County Government <br />2. Operation name (pit, mine or site name): Insoiration Point Pit <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: 19.9 Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): $2.325.00 Application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): gravel <br />5. Name of owner of surface of affected land: Bureau of Land Management <br />6. Name of owner of subsurface rights of affected land: Bureau of Land Management <br />If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: X Surface _ Underground <br />8. Location Information: the center of the area where the majority of mining will occur lies in: <br />COUNTY: Grand <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Mexico) _ Ute <br />TOWNSHIP (write number and check direction): T 1 _ North X South <br />RANGE (write number and check direction): R 81 _ East X West <br />SECTION (write number): S 17 <br />QUARTER SECTION (check one): _ NE _ NW _ SE 1/4 SW <br />QUARTER/QUARTER SECTION (check one): _ NE 1/4 NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction 9.5 miles SW of Kremmling. CO on Grand County Road #1 <br />from nearest town and <br />approximate elevation) Elevation 7500' <br />