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•• • F1L~rCI ~.~ C~.. ./~i„E,,,o rn ENT MAR 2 7 1991 REGULAR (112) PERMIT APPLICATION FORM Mined Land ~Prl?"+aTinr r`' ' This form contains two ma,)or parts: (1) General Operation Information and (2) Exhibits A-P. Hhen you submit your application, be sure to include four s~iggned copies of the General Operation Information, four copies of Exhibits A-P, and a~eCk for the applicaticn fee described under (4) below. To expedite processing, please provide the information in the format and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. 1. Applicant/Operator Name: Southway construction co., Inc. 2.. ;Operation Name (Pit, mine or site name): Fillmore Pit (112) 3.: Application type: ~ular (112) Permit Operation. 4.~y Application Fee for Permitted Acreage* ~+ permitted acres. (550.00 + 515.00/acre, 1st. 50 acres; 510.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres; 51.00/acre, arty additional acreage; maximum fee of 52,000.00).* Note permitted acreage and application fee and attach a check for this amount when you file. 5. Substance(s) to be mined (e. g., gold/silver/gravel l: 6. Owner:s(s) of Substance to be Mined 5570.00 application fee. Sand and Gravel (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian 7. Owner{s) of Record of Affected Land (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian 8. Type of Mining Operation • (check applicable box(s)): f~l Surface ^ Underground ^ In-situ 9. Locat•don Information. The center of the area where the ma,)ority of mining will occur lies in: f:OUNTY: p e 1 I~RINCIPLE ER D N ciecc one ® 6th (Colorado) ^ 10th (New Mexico)^ Ute TOWNSHIP (write number and check direction): T _~ ^ North Q South IUINGE (write number and check direction): R 61 ^ East Q Hest :SECTION (write number): S ~z (}DARTER SECTION (check one): 0-~- ^ NN Q SE O SW (}DARTER/QUARTER SECTION (check one): ^ NE ^ NW ~ SE ^ SW GENERAL DESCRIPTION: Imiles and direction 5.8 miles East of Boone, North of and adjacent to 1`ram nearest town and ~ipproximate elevation) state Highway 96. * 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.