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RFr~IVE~ <br />REGULAR OPERATION (112) JAN 181994 <br />RECLAMATION PERMIT <br />APPLICATION FORM Diviswu ~~ ~.~~~rorais & b~~~..yy <br />CHECK ONE: New Application (Rule 2> Amendment Application (Rule 1.8) <br />x Conversion Application (Rule 1.10) <br />The application for a Regular Operation Reclamation Permit contains three mayor parts: <br />(1> the application form; (2> Exhibits A-5; 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. n. qI ~/1n_ <br />ovvevvvsvvvvv=c.neeoc~vvvvevaeeeeeviceee==eovvvvevccevvveceeevvoecvecv=---__--_-~c__v---ITaQea=asv <br />GENERAL OPERATION INFORMATION ~ a5sz3 '~~~ <br />Type or print Clearly, in the space provided, all information desc ibed below. o6O~ <br />c cevicec¢eevcvvseeeeevaeevvcoasveeeeveeaevvvvvvee=avvosvevee=vve=eeevv.ecaeeneeeeacveeeeec <br />1. Applicant/operator name: Benson Brothers Truck S Equipment <br />1.1 Type of organization (corporation, partn rship, etc.): Partnership <br />1 ~a.l.levi lot c~ P ~ +- Il~o ~ <br />2. Operation name (pit, mine or Site name): Benson Brothers Aooregate <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: 23.58 Permitted acres <br />• Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): ;1500.00 Application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): travel <br />5. Name Of owner Of surface Of affected land: Benson Brothers Trk S Equip. <br />6. Name of owner of subsurface rights of affected laDnc~':son Brothers Trk 6 Equip. <br />If 2 or more owners, refer to Exhibit P. <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 />COUNTY: Delta <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) _ Ute <br />TOWNSHIP (write number and check direction): T 1~ _ North X South <br />RANGE (write number and check direction): R ~- _ East ~ West <br />SECTION (write number): S ~- <br />QUARTER SECTION (check one): _ NE X_ NW _ SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE ~_ SW <br />GENERAL DESCRIPTION: <br />• (miles and direction Property borders Town of Orchard City Office <br />from nearest town and <br />approximate elevation? 5265 feet above sea level <br />ORIG;NAL <br />