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Ill lllllllllllll III <br />REGULAR OPERATION (112) <br />-RECLA'4ATION PERMIT <br />APPLICATION FORM <br />CHECK ONE: ~- New Applicatio~i-(Rule 2) <br />_ Conversion Application (Rule 1.10) <br />a~('FI~/ED ~ <br />Autt 0 5 1995 <br />Amendmenp'v sion ui ~~unera~s 8 Geology <br />t bpplication (Rule 1.8) <br />The application for a 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 one (1) signed original and four (4) signed <br />copies of the application form, five (5> copies of Exhibits A-S, and a check for the <br />application fee described under Section (14) on Page 3. To expedite processing, please <br />provide the information in the format and order described in this form. /p/er DJ~, <br />eeveeeeeeeceveecy=ceeesv---------.e-----__-__=c--------vicevve.eeeccvaev ~c EOCeaeeevveve <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />-F 3 v 3 O v <br />1. Applicant/operator name: CUSTER COUNTY ROAD AND BRIDGE <br />1.1 Type of organization (corporation, partnership, etc.>: COUNTY GOVERNMENT <br />2. Operation name (pit, mine or site name): CUSTER COUNTY GRAVEL PIT (M-093) <br />2.1 I.R.S. Tax ID No. or Social 5ecurlty No.: <br />3. Permitted Acres: X8.5± Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): $1,875.00 Application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): GRAVEL <br />5. Name of owner of surface of affected land: CUSTER COUNTY <br />6. Name of owner of subsurface rights of affected land: CUSTER COUNTY <br />If 2 or more owners, refer to Exhibit P. <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: CUSTER <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 23 _ North X South <br />RANGE (write number and check direction): R 72 _ East ~_ West <br />SECTION (write number): S 3 <br />QUARTER SECTION (check one): X NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE X NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction 6 MILES SOUTHEAST OF WESTCLIFFE, <br />from nearest town„and <br />approximate elp~tton) COLORADO, BORDERING SCHOOLFIELD ROAD <br />~~\_ (CUSTER COUNTY ROAD 328) ON THE SOUTH <br />~` AT APPROXIMATE ELEVATION OF 8200 FEET. <br />0 <br />