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<br />a Ill IIIIIIII11111111 <br />REGULAR (112) PERMIT <br />APPLICATION FORM <br />PRINCIPLE c ec orte :. 6th (Colorado) <br />TOWNSHIP (write number and check direction): T 6 <br />RANGE (write number and check direction): R 66 <br />SECTION (write number): S 36 <br />QUARTER SECTION (check one): ~- <br />QUARTER/QUARTER SECTION (check one): ` NE <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 ~si named copies of the <br />General Operation Information, four copies of Exhibits A-P, and a- cock 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 />1. Applicant/Operator Name: Western-Mobile, inc. <br />2. Operation Name (Pit; mine or site name): Greeley West (M-77-R1) <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* 200 permitted <br /> acres. <br /> (E50.00 + E75.00/acre, 1st. 50 acres; <br /> E10.00/acre, 2nd. 50 acres; E5.00/acre, 3rd. 50 acre s; <br /> 51.00/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/sliver/gravel): sang and gravel <br />6. Owners(s1 of Substance to be Mined <br /> (check applicable box(s)): x Private State Federal Indian <br />7. Owner(s) of Record of Affected Land <br /> (check applicable box(s)): " Private State Federal Indian <br />$. Type of Mining Operation <br /> (check applicable box(s)): x 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: Weld <br />~- -:I}~ <br />J U L 711989 <br />AhIiJ':U LAND <br />RECLAiJiATiON DIVISIh:e <br />10th (New Mexico) Ute <br />x North South <br />` East x West <br />~ NW _ SE SW <br />NW SE ` SW <br />(miles and direction 1 mile NW of Greeley <br />from nearest town and <br />approximate elevation) 4,660' MsL <br />GENERAL DESCRIPTION: <br />* If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation. <br />