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ocr ~ gees <br />REGULAR (112) PERMIT <br />APPLICATION FORM MII~FEf ,.,,.YO RECLANIATIO~: <br />cola dept, of Nelural Resources <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-P. When you submit your application, be sure to include four signed copies of the <br />General Operation Information, four copies of Exhibits A-P, and aTk for the <br />application fee described under (4) below. To expedite processing, please provide the <br />information 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 />----------------------------------------------------------------------------------------- <br />----------------------------------------------------------------------------------------- <br />1. Applicant/Operator Name: 'Thomas F. Latham and Gingrr L. Latham <br />2. Operation Name (Pit, mime or site name): Deseque Gravel Tit <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* 41.73 permitted <br />acres. <br />($50.00 + $15.00/acre, 1st. 50 acres; <br />$10.00/acre, 2nd. 50 acres; $5.00/acre, 3rd. 50 acres; <br />$1.00/acre, any additional acreage; maximum fee of <br />52,000.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): travel <br />6. Owners(s) of Substance to be Mined <br />(check applicable box(s)): li3 Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): xg] Private ^ State ^ Federal ^ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): 1~ Surface ^ Underground ^ In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Mesa <br />PRINCIPLE MERIDIAN check one lsa 6th (Colorado) ^ 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T 9 ^ North x~] South <br />RANGE (write number and check direction): R 97 ^ East 1~3 West <br />SECTION (write number): S 9 <br />QUARTER SECTION (check one): ^ NE ^ NW ^ SE ZS SW <br />QUARTER/QUARTER SECTION (check one): ^ NE >~ NW ^ SE ^ SW <br />GENERAL DESCRIPTION: <br />{miles and direction 3 miles sout hwest of DeBeque , Colorado <br />from nearest town and <br />approximate elevation) 4,900 feet eleva tion <br /> <br />* If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an ar_re must he counted as one acre for fee calculation. <br />