REV90425

• Permit No: M1981250
• IBM Index Class Name: Revision
• Doc Date: 6/8/1987
• Doc Name: REGULAR 112 PERMIT APPLICAITON FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

• iii iiiiiiiii~iiiiii
999
REGULAR (112) PERMIT
APPLICATION FORM
~tECEIVED
JUN 081997
MINED LAND
RECLAMATION DIVISION
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 as deck for the
application fee described under (4) below. To expedite processing, please provide the
information in the format and order described in this form.
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GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
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1. Applicant/Operator Name: Yuma County '
2. Operation Name (Pit, mine or site name): Branca Pit ESctensinn
3. Application type: Regular (112) Permit Operation.
4. Application Fee for Permitted Acreage* ~lg 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
Note permitted acreage and application fee and
attach a check for this amount when you file. N/A application fee.
5. Substance(s) to be mined (e. g., gold/silver/gravel): Road gravel
6. Owners(s) of Substance to be Mined
(check applicable box(s)): ® Private ^ State ^ Federal ^ Indian
7. Owner(s) of Record of Affected Land
(check applicable box(s)I: ~ Private ^ State ^ Federal p Indian
8. Type of Mining Operation
(check applicable box(s)): B Surface ^ Underground p In-situ
9. Location Information. The center of the area where the majority of mining will
occur lies in:
COUNTY: m
PRINCIPLE MERIDIAN check one ® 6th (Colorado) ^ 10th (New Mexico) ^ Ute
TOWNSHIP (write number and check direction}: T
~ ® Florth ^ South
RANGE (write number and check direction): _
R ~ ^ East ® West
SECTION (write number): S ~

QUARTER SECTION (check one): _
&7 NE p
NW
^ SE
^
SW
QUARTER/QUARTER SECTION (check one): ^ NE ^ NW p SE 13 SW
GENERAL DESCRIPTION:
(miles and direction 6 E. & 7 N. of Yuma. Colo rad o
from nearest town and
approximate elevation}
* 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.