REV106846

• Permit No: M1977439
• IBM Index Class Name: Revision
• Doc Date: 12/11/1987
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Type & Sequence: AM2
• Media Type: D
• Archive: No

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DECEMBER 1987 AMENDMENT DEC 11 1987
REGULApR (112) PERMIT
APPLICATION FORM MIN~u ~...~nu
IiECLAMA7lON DIVISION
This form contains two major parts: (1) iral Operation Information and (2) Exhibits
A-P. When you submit your application, be Sure to include four 5igned copies of the
General Operation Information, four copies of Exhibits A-P, and as check for the
application fee described under (4) below. To expedite processing, please provide the
information in the format and order described in this form.
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GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
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1. Applicant/Operator Name: STERLING SAND & GRAVEL CO.
2. Operation Name (Pit, mine or site name):
HOME OFFICE MINE
3. Application type: Regular (112) Permit Operation.
4. Application Fee for Permitted Acreage* 789.5 permitted
APJ INCREASE OF 59.0 ACRES. acres.
(550.00 + E15.00/acre, 1st. 50 acres;
E10.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres;
51.00/acre, any additional acreage; maximum fee of
52,000.00).*
Note permitted acreage and application fee and
attach a check for this amount when you file. $ 445.00 application fee.
5. Substance(s) to be mined (e. g., gold/silver/gravel): SAND & GRAVEL
6. Owners(s) of Substance to be Mined
(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)): ^ Surface ^ Underground ^ :[n-situ
9. Location Information. The center of the area where the majority of mining will
occur lies in:
COUNTY: LARIMER
PRINCIPLE MER D AN chec one ~ ^ 6th (Colorado) ^ 10th (New Flexico) ^ Ute
TOWNSHIP (write number and check direction): T 8 ^ Nortti ^ South
RANGE (write number and check direction): R 69 ^ E ast ^ West
SECTION (write number): S 33
QUARTER SECTION (check one): ^~~ ^ NW ^ SE ^ SW
QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE ^ SW
GENERAL DESCRIPTION:
(miles and direction APPROXIMATELY ONE MILE NO RTHWEST OF FORT COLLINS
from nearest town and

approximate elevation) COLORADO, AT APPROXIMATELY 5,000 FEED ELEVATION.
* If the operator is a unit of State or county government, an application f'ee is not
required. A fraction of an acre must be counted as one acre for fee calculation.