1989-07-21_REVISION - M1974070 - Laserfiche WebLink

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I REGULAR (112) PERMIT JUL ^ L 1989 APPLICATION FORM MINE! LAN[; '�ECLAsJATION 0IVIS!0N..: This form contains two major parts: (1 ) General Operation Information and (2) Exhibits A-P. When you submit your application, be sure to include four signed copies of the -- General Operation Information, four copies of Exhibits A-P, and ask for the application fee described under (4) below. To expedite processing, please provide the information in the format and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. 1 . Applicant/Operator Name: Western-Mobile, Inc. 2. Operation Name (Pit, mine or site name) : Nelson Pit 3. Application type: Regular (112) Permit Operation. 4. Application Fee for Permitted Acreage* 365 permitted acres. ($50.00 + $15.00/acre, 1st. 50 acres; $10.00/acre, 2nd. 50 acres; $5.00/acre, 3rd. 50 acres; $1 .00/acre, any additional acreage; maximum fee of $2,000.00).* Note permitted acreage and application fee and attach a check for this amount when you file. application fee. 5. Substance(s) to be mined (e.g. , gold/silver/gravel ) : sand and gravel 6. Owners(s) of Substance to be Mined (check applicable box(s) ) : x Private _ State _ Federal _ Indian 7. Owner(s) of Record of Affected Land (check applicable box(s) ) : x Private _ State _ Federal _ Indian 8. Type of Mining Operation (check applicable box(s) ) : x Surface _ Underground _ In-situ 9. Location Information. The center of the area where the majority of mining will occur lies in: COUNTY: Weld PRINCIPLE (check one :_ 6th (Colorado) loth (New Mexico) Ute TOWNSHIP (write number and check direction): T z x North South RANGE (write number and check direction) : R 68 _ East x West SECTION (write number) : S 29 QUARTER SECTION (check one) : -ITF— x NW SE SW QUARTER/QUARTER SECTION (check one): _ NE = NW _ SE _ SW GENERAL DESCRIPTION: (miles and direction +/- 5 miles Se of Longmont from nearest town and approximate elevation) 4910' MSL * If the operator is a unit of State or county government, an application fee is not required. A fraction of an acre must be counted as one acre for fee calculation.