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i <br />III III III IIIIIIIIII :. G~ <br />~~~ F~ <br />nuc c user <br />MINfrD LAND <br />f1EC~_ANiA1 !ON pIti1310N <br />REGULAR (112) PERMIT <br />APPLICATION FORM <br />' This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-P, lihen you submit your application, be sure to Include four si red copies of the <br />General Operation Information, four copies of Exhibits A-P, and a~k for the <br />1 application fee described under (4) below. To expedite processing, please provide the <br />information in the format and order described 1n this form. - _ ~ ~ _I ~~ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />' 1. Applicant/Operator Name: R. E. Monks Constriction Company <br />2. Operation Name (Pit, mine or site name): Airport Pit No. s <br />3. Applica*_ton type: Regular (112) Permit Operation. <br />' 4. Application Fee for Permitted Acreage* 350 permitted <br />acres. <br />(550.00 + =15.00/acre, 1st. 50 acres; <br />f10.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres; <br />51.00/acre, any additional acreage; maximum fee of <br />52,000.00).* <br />' Note permitted acreage and application fee and <br />attach a check for this amount when you ft le, $1,750.00 application fee. <br /> 5. Substance(s) to be mined (e. g., gold/silver/gravel): sand and aravel <br /> <br /> 6. Owner=(s) of Substance to be Mined <br /> (check applicable box(s)): ~ Private O State ^ Federal p Indian <br />' 7. Owner(s) of Record of Affected Land <br /> (check applicable boxls)): ~ Private O State ^ Federal O Indian <br />' 8. Type of Mining Operation <br /> (check applicable box(s)): )~ Surface ^ Underground ^ In-situ <br /> 9. Location Information. The center of the area where the majority of mining will <br />' occur ties in: <br /> COUNTY: Fremont <br />PRINCIPLE MER D N c ec one ~ ~ 6th (Colorado) ^ 10th (New Mexico) ^ Ute <br /> TOWNSHIP (write number and check direction): T 19 p North ~ South <br /> RANGE (write number and check direction): R 69 ^ East ~ West <br /> SECTION (write number): S11~ <br /> QUARTER SECTION (check one): O NE O NW ^ SE ~ SW <br /> QUARTER/QUARTER SECTION (check one): O NE ^ NW O SE ~ SW <br />' GENERAL DESCRIPTION: <br />(miles and direction Approx. 1 1/2 mi <br />les northeast of Florence, CO <br /> from nearest town and <br /> approximate elevation) <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 one acre for fee calculation. <br />