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~ III IIIIIIIIIIIII III <br />t Dot 17 1~~6 <br />' LIMITED IMPACT OPERATION (110) <br />APPLICATION FORM ~~IP!~!y L11f!In RECIAA~AiIQ(`s <br />,'. +,; Q0~!, of Natural Rasot!ra3~ <br />This form coot. ins two major parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you submit your application, be sure to include two signed copies of the <br />General Operat ~n Information, two copies of Exhibits A-G, and a c eck for the <br />application fey described under (4) below. To expedite processing, lease provide the <br />information_in the_format_and-order-described-in-this-form__m .~ ~ P y ~ _ ~-(~.~a = ~1~~ OZ~ <br />GENERAL OPERATION INFORMATION <br />' _----Type_or-print clearly--in_the-space provided_ all-information described below_-__--_ <br />1. Applicant, )perator Name• Sterling Ready-Mix Concrete, Company Inc. <br />2. Operation Jame (Pit, mine or site name): Harley Pit I <br />' 3. Applicatic i type: Limited Impact Operation (110). <br />9 <br />98 <br /> 4. Applicatic ~ Fee (E10 x (affected acres) + 525.00).* . <br />± affected acres. <br /> Mote affec :ed acreage and application fee and <br /> <br />' <br />attach a c rack for this amount when you file, $ 125.00 <br />application fee. <br /> 5. Substancel:) to be mined (e. g., gold/silver/gravel): Sand and gravel <br />t 6. Owners(s) ~f Substance to be (dined <br /> (check applicable box(s)): ,1g( Private ^ State ^ Federal ^ Indian <br />' 7. Owner(s) c ' Record of Affected Land <br /> (check applicable box(s)): J~ Private ^ State ^ Federal ^ Indian <br /> 8. Type of Mi ring Operation <br />' (check apF icable box(s)): ,~ Surface ^ Underground ^ In-situ <br /> 9. Location I nformation. 'The center o f the area where the majority of mining will <br />' occur lies in: <br /> COUN7 ': LOGAN <br /> PRINC PLE R D c ec one 6th (Colorado) 10th (New Mexico) Ute <br />' TOWNS IIP (write number and check direction): T g ~ North ^ South <br /> RANGE (write number and check direction): R 52 ^ East ~ West <br />' SEC TI <br />QUART iN (write number): <br />R SECTION (check one): S 2g <br />^ ~~ NW B1 SE ^ SW <br /> QUART R/QUARTER SECTION (check one): ^ NE ~ NW ^ SE ^ SW <br /> GENER L DESCRIPTION: 6.50 miles North of the Town of Sterling <br /> (mile and direction <br />' from ea rest town and approx. elevation 4080 sea level datum <br /> appro imate elevation) <br />' * If the opera or is a unit of State or county government, an application fee is not <br /> required. A fr ction of an acre must be counted as one acre for fe-: calculation. <br />1 <br /> <br />