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~~ ~~~~~~~~~~~~~ ~~~ R E C I <br />999 <br />Receive <br />cHSCU oN ~ II ~~i4df~ress_ <br />.1 P<,T;<'~„ ;Dot •-~ .. ~ ~' ' N~~ .~~ <br />,, ~, • .: <br />fro -' ,~.,, ,. ., <br />•~iJ .,l 7%.;,,-,old"/' ,.! Y l1rC T-%-/~L <br />Pe. ~ II I ,For! .. -/ / ` <br />r I .~~nn,.n / ~ HOW PAID <br />The appl: .-A~a ~~ ~ ~~ ~~ <br />the. appl. ~ '. cNECK" c.. n <br />applicati ,,M;r.,PAiD ~~ <br />notarizet ~ 'y ;~cE ~ ...~ axDeR. ~ ;B - <br />A-R Sad t _ _.._-_i ~.,~" ouu a <br />check fox _ _ ...tr__..,...~.». roc ucuCrlned unaer Section (16) Oa Page 3. Hxhibits should not <br />be bound or in a 3-ring binder; maps should be folded to 8 i/2" R 11• or B 1/2" % 14" size. <br />To expedite processing, please provide the information in the format and order described in <br />this form. <br />GHNHRAL OPERATION ZNPOR.MATION <br />Type or print clearly, is the space provided, all information describ~3d below. <br />1. Applicant/operator or company name (name to be used oa permit): <br />Tezak Heavv~(n'nmenY Cmm~anv Tnr_ <br />1.1 Type of organization (corporation, partnership, etc.): corporation <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Operation name (pit, mine or site name): T.H.E. Aggregate Source <br />3. Permitted acreage (new or existing site) 30 pexmittedacree <br />3.1 Change in acreage (+ or -) (amendment or conversion) _ +35 acscs <br />3.2 Total acreage lII Permit area 65 A.-.,PA <br />4. Fees: <br />4.1 New Application 51.875.00 application fee <br />4.2 New Quarry Application 52,325.00 quax'ry application <br />4.3 Milling Application (Non-DMO) 53,100.00 milling application <br />4.4 Amendment Pee 51.550.00 ,amendment fee <br />4.5 Conversion to 112 operation (set by statute) 51.500-00 conversion fee <br />5. Primary commoditie(s) to be mined: rani a rg_anite natiraVP~l o~nr;~rPr <br />6. Name of owner of subsurface rights of affectedd land: TEZAK HEAVY E~~UIPMENT CO., INC. <br />if 2 or more owners, refer to Hxhibit O. <br />7. Name of owner of surface of affected land: TEZAK HEAVY EQUIPMENT CO., INC. <br />8. Type of mining operation: ~X Surface Dndergrouad <br />9. Location Information: the center of the area where the majority of mining will occur <br />lies in: <br />CODNfY: FREMONT <br />PRIPCIPAL MSRIDrn+x (check one): ~ 6th (Colorado) 10th (New Mexico) _ Dte <br />SECTION (write number): S 3r <br />TOWNSHIP (trite number sad check direction): T ~g~ North South <br />BANGS (write number and check direction): R TD - Haet ~ West <br />QLTARTSR SHCTIOF (check one) : _ NH _ NW _ SH ~_ SW <br />QLDIRTSR/QID\RTHR SECTION (check one): NB NW SH SW <br />GHNHRAL DHSCRIPTION (miles and direction from nearest town and a vatioa): <br />This eranite bedrock sourced av ~ and ;n- ap onerar;on i lnrirod nnrrh of <br />~, Tunnel Drive app. lJ4 mile west of US Highway 50 on the western edge of Canon <br />lty, remont ounty, Colorado. <br />__ _ . - -- - <br />