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<br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />~~II~~I~~I~~~~~~~~' <br />sss <br />'I CHECK ONE: New Application (Rule 2) Amendment Application (Rule 1.8) <br />X Conversion Application (Ruse 1.10) <br />~ The application for a Regular Operation Reclamation Permit contains three major parts: <br />(1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include one (1) signed original and four (4) signed <br />copies of the application form, five (5) copies of Exhibits A-S, and a check for the <br />application fee described under Section (14) on Page 3. To expedite processing, please <br />provide the information in the format and order described in this form. <br />~J .- 6 SAO <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />vaceceeeccea=:eco.o.ease=v.eseeace~eeeeeveecaevac=c=e.see.ec=cevev~=vv.c~ecoeeevec=aeavea~ <br />1. Applicant/operator name: <br />All Rite Paving & Redi-Mix, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): Lamar Pit <br />2.1 I.ft.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: <br />Please indicate acreage to the nearest tenth <br />3.1 Application fee (see Section 14): <br />4. Substance(s) to be mined (e.g., gravellgoldlborrow): <br />5. Name of owner of surface of affected land: <br />6. Name of owner of subsurface rights of affected land: <br />If 2 or more owners, refer to Exhibit P. <br />39.31 Permitted acres <br />10th) acre. <br />$1,500 Application fee <br />Sand and Gravel <br />John Ary, Prowers County <br />John Ary, Prowers County <br />7. Type of mining operation: X Surface _ Underground <br />8. Location Information: the center of the area where the majority of mining will <br />occur lies in: <br />I COUNTY: Prowers <br />PRINCIPi~L MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T _22 North X South <br />[ RANGE (write number and check direction): R 46 _ East x West <br />SECTION (write number): S -~ <br />QUARTER SECTION tcheck one): NE x NW SE SW <br />QUARTERiQUARTER SECTION (check one1: _ NE _ NW X SE ` SW <br />GENERAL DESCRIPTION: <br />(miles a.nd direction Approximately O.5 mile mrth of Lamar <br />from nearest town and <br />dpprOxirtiate elevation) Approximately 3,685 feet elevation. <br />