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III IIIIIIIIIIIII III ! ,999 PERMIT AMENDMENT <br /> REGULAR OPERATION (112) <br /> RECLAMATION PERMIT <br /> APPLICATION FORM <br /> CHECK ONE: New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) <br /> Conversion Application (Rule 1.11) <br /> Permit # M 77 - 219 (provide for amendments and conversion Rf existing <br /> permits) RF(' J <br /> The application for a Regular Operation Reclamation Permit contains �aj�ESSparts: (1) <br /> the. application form; (2) Exhibits A-S and Geotechnical Stability i rt; 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 Geotechnicaviog DUMI iitty'$xhtbt0y, 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 /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> 1. Applicant/operator or company name (name to be mit) : <br /> A. P. Green Refractories, Inc. <br /> 1.1 Type of organization (corporation, partnership, etc.) : Corporation <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: 43-1680037 <br /> 2. Operation name (pit, mine or site name) : Fox #1 <br /> 3. Permitted acreage (new or existing site) 36.7 permitted acres <br /> 3.1 Change in acreage (+ or -) (amendment or conversion + 11.1 aces <br /> 3.2 Total acreage in Permit area 4o.3 — acres <br /> 4 . Fees: (includes 7.5 acres requested for release) <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(s) to be mined: clay <br /> 6. Name of owner of subsurface rights of affected land: See EXHIBIT 0 <br /> If 2 or more owners, refer to Exhibit O. <br /> 7. Name of owner of surface of affected land: See EXHIBIT 0 <br /> S. 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: Pueblo <br /> COUNTY: <br /> PRINCIPAL MERIDIAN (check one) : X 6th (Colorado) loth (New Mexico) _ Ute <br /> SECTION (write number) : S <br /> TOWNSHIP (write number and check direction) : T X North South <br /> RANGE (write number and check direction) : R Hast West <br /> SH SW <br /> QUARTER/QUARTER R/QUARTER SECTR SECTION ION ck o(check one) : HE NW ne) : HE NWX SE SW <br /> GENERAL DESCRIPTION (miles and direction from nearest town and approximate a evation).: <br /> 21 miles southwest of Pueblo on Rt. 78 then <br /> I mile north on Siloam Rd. - Elev. - 6,43U <br /> ' . :-ORIGINAL <br />