2002-04-18_REVISION - M1978283

• Permit No: M1978283
• IBM Index Class Name: Revision
• Doc Date: 4/18/2002
• Doc Name: Incomplete Conversion Application
• From: DMG
• To: Walsenburg Sand & Gravel Inc
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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6. Name of owner of subsurface rights of affected land: Toni ¢ p Vezzani & Evelyn M Vezzani _
If 2 or more owners, "refer to Exhibit O". dba Walsenburg Sand & Gravel, Inc,
7. Name of owner of surface of affected land: ~ Sam a Abo
8. Tvpe of mining operation: XX Surface Underground
9. Location Information: The center of the azea where the majority of mining will occur:
COUNTY: Huerfano
PRINCIPAL MERIDIAN (check one): _ X[~ 6th (Colorado) _ 10th (New Mexico) _ Ute
SECTION (write number):
TOWNSHIP (write number and check direction)
RANGE (write number and check direction):
QUARTER SECTION (check one):
QUARTER/QUARTER SECTION (check one):
S 71 ~ 7?r27, 28
T 28 -North XX South
R 67 -East ~ West
_NE _NW _SE _SW
_NE _NW _SE _SW
GENERAL DESCRIPTION: (the number of miles and duecfion from the neazest town and the approximate elevation):
4 Miles West of Walsenbnrg, North of H;ghr.,a~+ 160 FTa..~r' 65nn
10. Primary future (Post-minine) land use (check one
Cropland(CR) _ Pas[ureland(PL)
Yom. Rangeland(RL} _ Fozestry(FR)
Residential(RS) _ Recreaflon(RC)
Developed Water Resources(WR)
11. Primary present land use (check one
Cropland(CR) Pas[ureland(PL)
~ Rangeland(RL) _ Forestry(FR)
Residenflal(RS) _ Recreation(RC)
_ Developed WaterResources(WR)
General Agriculture(GA)
WildlifeHabitat(WL)
_ IndustriallCotnmercial(IC)
Solid WasteDisposal(WD
General Agricul[ure(GA)
WildlifeHabitat(WL)
IndustriaUCommercial(IC)
12. Method of Mining: Briefly explain mining method (e.g. trucklshovel): Front-end loaders to move material
out of Hermit area to nrnreccing plan a d a oc`kni les
13. On Site Processing: Crushing/Screening
13.1 Briefly explain mining method (e.g. truck/shovel):
List any designated chemicals or acid-producing materials to be used or stored within permit azea: