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REGULAR OPERATION (112) RECLAMATION PERMIT . APPLICATION FORM ~~~.i ~,,'1 '994 CHECK ONE: New Application (Rule 2) _~ Amend&~an6~~App1'i~fi'tfb1S"tRa~le 1.8) Conversion Application (Rule 1.10) /1 /nn ~~ ~© I The appllcatton for a Regular Operation Reclamation Permit contains three major parts: <1> the appllcatton form; <2) Exhtblts A-S; and, (3) the application fee. Nhen you submit your application, be sure to Include one (1> signed original and four (4) signed copies of the application form, five (5> copies of Exhibits A-S, and a check for the application fee described under Section (14) on Page 3. To expedite proce'ssing, piease provide the information 1n the format and order described in this form. rn , p~_~9 ~ztzzszzszszzzzzzzzzzzzzzzzzzzzzszzzzzzszzzzzzzzszszzzzzzzzzzzzzzzzzszzzz z sz z zzsszzz GENERAL OPERATION INFORMATION (~ X55 Type or print clearly, 1n the space provided, all information described below. 1. Applicant/operator name: C & M COMPANIES 1.1 Type of organization (corporation, partnership, etc.): Corporation 2. Operation name (pit, mine or site name): Distel Farm Resource 2.1 I.R.S. Tax ID No. or Social Security No.: 3 4 5 Permitted Acres: + i~2.g5 Permitted acres Please indicate acreage to the nearest tenth (10th) acre. 3.1 Application fee (see Section 14): $1550.00 Application fee Substance(s) to be mined <e.g., gravel/gold/borrow) Name of owner of surface of affected land: Sand and Gravel Donald Sherwood 6. Name of owner of subsurface rights of affected land: Donald Sherwood If 2 or more owners, refer to Exhibit P. 7. Type of mining operation: ~ XX Surface _ Underground 8. Location Information: the center of the area where, the majority of mining will occur lies in: COUNTY: Weld PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute TOWNSHIP (write number and check direction): T _~ ~ North South RANGE (write number and check direction): R 68 East ~ Nest SECTION (write number): 5 7. 17, 18 QUARTER SECTION (check one>: NE NW SE SW QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE _ SW GENERAL DESCRIPTION: (miles and direction Located adjacent to intersection of Boulder/Weld from e s town and app a~~on) County Line and Weld County Road #20 z, approximately 3'z miles from Longmont, Colorado VV1,~1;