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<br />CHECK ONE: _ <br />~ III IIIIIiIIIIIIIIII ~ <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />The application for a Regular Operation Reclamation Permit contains three mayor parts: <br /><1) the application form; (2) Exhibits A-S; and, <3) the application fee. Nhen you <br />submit your application, be sure to include one <1) signed original and four (4) signed <br />cople5 of the application form, five (S) 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 />iisiisiccisciiaississiisiziiiziisazciicaiixizzccsiziisiisisiszisiizzcizicsisii izzczisi <br />GENERAL OPERATION INFORMATION ' <br />Type or print clearly, in the space provided, all information described below. <br />iiiiiSiiiiiiiiiiiii3}iiii6iiiiiii2iiOiiiiiiiiiiiiCiSiiiiiiiSLiiiiF2iiiiiiiiii~si T.ii icaisa <br />1. Applicant/operator name: <br />,, .~ <br />nuG 2s 1994 ~ <br />/I I <br /> 1.1 Type of organization (corporation, partnership, etc.): C~orat~on <br />2. Operation name (pit, mine o r site name): Ralston ~h,arry <br /> 2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: 271.6 Permitted acres <br /> Please indicate acrea ge to the nearest tenth (10th) acre. <br /> 3.1 Application fee (see Section 14): $1,550.00 Application fee <br />4. Substance(s) to be mined (e .g., gravel/gold/borrow): Gravel <br />5. Name of owner of surface of affected land: Asphalt Paving Company <br />6. Name of owner of subsurface rights of affected land: Asphalt Paving Company <br /> If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: ~ ~ xX Surface _ Underground <br />8. Location Information: the center of the area where, the majority of mining wilt <br /> occur lies 1n: <br />COUNTY: Jefferson <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 3 _ North X South <br />RANGE (write number and check direction): R 7o _ East ~_ West <br />SECTION (write number): S 4 <br />QUARTER SECTION (check one): NE NW SE ~ SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Five miles north of Golden and one mile west of <br />from nearest town and <br />approximate elevation) State Highway 93 at an elevation of approximately <br />ORIGIIVAL 6300 Feet. <br />t Paving Company <br />New Applicatton (Rule 2) y~i Amendment App11'ca~1'brf°~Rule 1.8) <br />Conversion Applicatton (Rule 1.10) <br />