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EGULAR OPERATION (112) , RECLAFIATION PERMIT vIAY 14 1992 APPLICATION FORM The application for a Regular Operation Reclamation Permit contains ~,r~ ~~~@R ~ts:~ ~ C1) the application form; (2) Exhibits A-S; and, (3) the application fee. ~8'~~'^ submit your application, be sure to include five (5) signed copies of the application form Five (5> copies of Exhibits A-S, and a check for the application fee described under Section (14) on Page 3. To expedite processing, please provide the Information In the format and order described in this form. ~ GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described he low. 1. Applicant/operator name: SAND CREEK FARMS. INC. ~ 1.1 Type of organization (corporation, partnership, etc.): Corporation 2. Operation name (pit, mine or site name): SAND CREEK MINE 2.1 I.R.S. Tax ID No. or Social Security No.: { ~L ~ 3. Permitted Acres: ~' Permitted acres Please indicate acreage to the nearest tenth (1 th) acre. 3.1 Application fee (see Section 14>: $1,875.00 Application Fee 4. Substance(s) to be mined (e.g., gravel/gold/borrow): SAND ~ 5. Name of owner of surface of affected land: Sand Creek Farms. Inc. 6. Name of owner of subsurface rights of affected land: Sand Creek Farms, Inc. If 2 or more owners, refer to Exhibit P. ~ 7. Type of mining operation: R Surface _ Underground 8. Location Information: the center of the area where the majority of mining will occur lies fn: COUNTY: ADAMS • PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Flexico) Ute TOWNSHIP (write number and check direction>: T 3 _ North X South RANGE (write number and check direction): R 61 _ East X West SECTION (write number): S 3 -South Half QUARTER SECTION (check one): NE NW SE SW ~ QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE _ SW GENERAL DESCRIPTION: (miles and direction Approximately 7 1/2 miles north of B~~ from nearest town and Colorado. Approximate elevation = 5,400. approximate elevation) I• •