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<br />REGULAR (112) PERMIT <br />APPLICATION FORM <br /> <br />This form contains two major parts: (1) General Operation Infornation and (2) Exhibits <br />A-P. When you submit your application, be sure to include four signed copies of the <br />General Operation Information, four copies of Exhibits A-P, and a- c e k 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. ~. _ ~ 1 <br />GENERAL OPERATION INFORMATION .~ ~,r ? ~'~~ <br />Type or print clearly, in the space provided, all information described below. <br />------------------------------------------------- <br />1. Applicant/Operator Name: Rocky Mountain Asphalt, Inc. <br />2. Operation Name (Pit, mine or site name): Summit Pit <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* 28.1 permitted <br /> acres. <br /> (550.00 + E15.00/acre, 1st. 50 acres; <br /> 510.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acre s; <br /> E1.00/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. $485.00 application fee. <br />5. Substance(s) to be mined (e. q., gold/silver/gravel): Granite (Sand and Gravel) <br />6. Owners(s) of Substance to be Mined <br /> (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br /> (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian <br />8. Type of Mining Operation <br /> (check applicable box(s}}: ® 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: E1 Paso <br />PRINCIPLE MERIDI N check one ~ 6th (Colorado) ^ 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T 13 ^ North ® South <br />RANGE (write number and check direction): R 67 ^ East ® West <br />SECTION (write number): S 31 <br />QUARTER SECTION (check one): ^TJ~ ® NW ^ SE ^ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ® SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Approximately 7 miles W. of Colorado Springs. <br />from nearest town and <br />approximate elevation) Approximately 6,900 feet elevation. <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 />