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'~A~- <br />' BSc - I'~(o <br />1 <br />REGULAR (112) PERMIT ' <br />APPLICATION FORM <br />ii~ form contains two ^a~or parts: (1) General Operation Information and (2) Exhibits <br />~ lihen you submit your application. be sure to include four __a_i ~neded topics of the <br />~~al Operation Informatlon~ four to 1es of Exhibits A-P. and ask for the <br />~ ication fee described under (4) below. To expedite processing. please provide the <br />lfonoatlon in the format and order described 1n this form. <br />•~•••••••••~••••••~••••••• 6ENERAL•OPERATION INFORMATION .............................. <br />Type or print clearly 1n the space provided. all information described below. <br />.~ Applicant/Operator Name: Hallett Materials <br />.' Operation Name (Pit. nine or site name): Winkler Light Aggregate Quarry . <br />. Application type: Regular (112) Permit Operation. <br />.' Application Fee for Permitted Acreege* 1606 permitted <br />acres. <br />(250.00 +. >Y15.00/acre. 1st. 50 acres; <br />:10.00/acre 2nd. SO acres; =5.00/ecre~ 9rd. 50 acres; <br />=1.00/acre. aqy additional acreage; maxleum fee of <br />' :2.000.00).• <br />Mote permitted acreage and appllcetion fee and <br />attach a check for this amount then you file. ;z,ooo application fee. <br />i Substance(s) to be rived (e.g., gold/silver/gravel): Rhyolite <br />6~ ~Owners(s) of Substance to be Mined <br />(check applicable box(s)): ~txra4e. State Federal Indian <br />T' prner(s) of Record of Affected Land <br />(check applicable Oox(s)): Aedxraba State Federal Indian <br />8, Type of Mining Operation <br />(check applicable box(s)): Slrrfaae Underground In-situ <br />Location Information. The center of the area where the ra41or1ty of ^1n1ng will <br />occur lies in: <br />' COUNTY: Douglas <br />PRINCIPLE c ec one x 6th (Colorado) 10th (New Mexico) Ute <br />TOMNSHIP (write number and Meck direction): T ~_ North $~~ <br />RANGE (write number and check direction): R ~_ East If~A~x <br />SECTION (trite number): S27 28,29,33,34 <br />QUARTER SECTION (check One): ~- pN <br />QUARTER/QUARTER SECTION (Check One): rE Mk ~ ~ <br />GENERAL DESCRIPTION: <br />' (miles and direction Elevation 6700 feet <br />from nearest town and <br />approxioate elevation) 4 mil a c . of ae 1 Ro k <br />If the operator 1s a unit of State or caurrty governDent. an application fee is not <br />required. A fraction of an acre awst be counted as one acre for fee calculation. <br />