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III IIIIIIIIIIIIIIII RECEIVED <br /> 999 <br /> J U L Z 11989 <br /> REGULAR (112) PERMIT MINED LAND <br /> APPLICATION FORM RECLAMATION DIVISION <br /> This form contains two major parts: (1 ) General Operation Information and (2) Exhibits <br /> A-P. When you submit your application, be sure to include four signed copies of the <br /> General Operation Information, four copies of Exhibits A-P, and a cTeck for the <br /> application fee described under (4) below. To expedite processing, please provide the <br /> 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 /> 1 . Applicant/Operator Name: Western-Mobile, Inc. <br /> 2. Operation Name (Pit, mine or site name) : Deepe Pit <br /> 3. Application type: Regular (112) Permit Operation. <br /> 4. Application Fee for Permitted Acreage* 168.5 permitted <br /> acres. <br /> ($50.00 + $15.00/acre, 1st. 50 acres; <br /> $10.00/acre, 2nd. 50 acres; $5.00/acre, 3rd. 50 acres; <br /> $1.00/acre, any additional acreage; maximum fee of <br /> $2,000.00).* <br /> Note permitted acreage and application fee and <br /> attach a check for this amount when you file. application fee. <br /> 5. Substance(s) to be mined (e.g. , gold/silver/gravel ) : sand and gravel <br /> 6. Owners(s) of Substance to be Mined <br /> (check applicable box(s) ) : x Private _ State _ Federal _ Indian <br /> 7. Owner(s) of Record of Affected Land <br /> (check applicable box(s) ) : x Private _ State _ Federal _ Indian <br /> S. Type of Mining Operation <br /> (check applicable box(s) ) : x Surface _ Underground In-situ <br /> 9. Location Information. The center of the area where the majority of mining will <br /> occur lies in: <br /> COUNTY: Boulder <br /> PRINCIPLE (check one : 6th (Colorado) loth (New Mexico) Ute <br /> TOWNSHIP (write number and check direction) : T 1 North x South <br /> RANGE (write number and check direction) : R 70 '_ East X West <br /> SECTION (write number) : S 9 7 16 <br /> QUARTER SECTION (check one) : _-AF _ NW _ SE SW <br /> QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE SW <br /> GENERAL DESCRIPTION: <br /> (miles and direction i mile south of Boulder <br /> from nearest town and <br /> approximate elevation) 5,380' MSL <br /> * If the operator is a unit of State or county government, an application fee is not <br /> required. A fraction of an acre must be counted as 6ne acre for fee calculation. <br />