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EGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />The application fora Regular Operation Reclamation Permit contains three major parts: <br />(1> the application form; (2> Exhibits A-S; and, (3> the application fee. When you <br />submit your application, be sure to include five <5> shined copies of the application <br />form ,five (5) copies of Exhibits A-S, and a check for the application fee described <br />under Section (14) on Page 3. To expedite processing, please provide the information in <br />the format and order described 1n this form. I,'IMI1 (~\{ /W^/-~11 / ///~/ <br />C 6 C S C SS C-Cn - 'J p <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />~zeeanneceeeeeeeeeeanneennneonnennesvaaca=eneeeeenennn-ennevevc.nsevens-neeaeeecsveeenenn <br />1. Applicant/operator name: Bestway Paving Company <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or Site name): 83rd Join-t Venutre Resource <br />3 <br />4 <br />5 <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />Permitted Acres: 124 Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): <br />Substance(s) to be mined (e.g., gravel/gold/borrow): <br />Name of owner of surface of affected land: <br />6. Name of owner of subsurface rights of affected land <br />If 2 or more owners, refer to Exhibit P. <br />Application fee <br />Sand and Gravel <br />83rd Joint Venture <br />83rd Joint Venture <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: Weld <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) <br />TOWNSHIP (write number and check direction): T ~_ <br />RANGE (write number and check direction>: R ~_ <br />SECTION (write number): S ~_ <br />QUARTER SECTION (check one>: NE <br />QUARTER/QUARTER SECTION (check one): XX NE <br />GENERAL DESCRIPTION: <br />$1,875.00 <br />IOth (New Mexico) Ute <br />;~ North South <br />_ East yy West <br />NW SE ~ SW <br />_ NW _ SE _ SW <br />(miles and direction Approximately 1 mile Northwest of Greeley . <br />from nearest town and <br />approximate elevation) 4670 feet Elevation <br />