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<br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br /> <br />CHECK ONE: New Application (Rule 2) Amendment Application (Rule 1.8) <br />x Conversion Application (Rule 1.10) <br />The application for a Re r 0 eration Re lamation Permit contains three major parts: <br />(1) the application form; (2) Exhibi s 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 />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. ) <br />=eee..eeeevevveeeee=oveeeeeseevv=vavvveavaeeeeeeeeeoeeeevoveeoeceeevcc= ~,=p~{=p=~~jE-v <br />1. Applicant/operator name: Benson Brothers Truck S Equ <br />1.1 Type of organization (corporation, partnership, etc.): <br />2. Operation name (pit, mine or site name): <br />2.1 I.R.S. Tax ID No. or Social Security No.: - <br />~~ <br />!/~ <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): Gravel <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 l~n~ son Brothers Trx S. 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 wi}} <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 I~ _ 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 />QUARTERlQUARTER 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 elevdti0n) 5265 feet above sea level <br />