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<br />REGULAR OPERATION (112) <br />RECLAtdATION PERMIT <br />APPLICATION FORM <br />Tl+e application for a Regular Operation Reclamation Permit contains three major parts: <br />(I) tice application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include five (5> si netl copies of the application <br />Form five (5) copies of Exhibits A-S, and a check for the application fee described <br />under Section (14) on Page 3. To expedite processing, please provide the information In <br />tl+e 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 />Applicant/operator name: SAND CREEK FARMS. INC. _ <br />1.1 Type of organization (corporation, partnerslclp, etc.): Corporation <br />2. Operation name (pit, mine or site name): SAND CREEK MINE <br />2.I I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: 40 Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />• 3.1 Al+pllcation Fee (see Section 14): $2,325.00 Apl+licatlon fee <br />4. Substanre(s> to be mined (e.g., gravel/gold/borrow): Sand/Gravel __ <br />5. Name of owner of surface of affected land: Sand Creelc farms. Inc. <br />6. Name of owner of subsurface rights of affected land: Sand Creel; Farms, Inc. <br />If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: X Surface __ Underground <br />A. Location Information: the center of the area where the majority of nrl++ing will <br />occur Iles In: <br />COUNTY: ADAMS <br />PRINCIPAL MERIDIAN (check one) : X 6tli (Colorado) lOtli (New Mexico) _ Ute <br />T041NSNIP (write number and che ck direction): T _ <br />3 _ North x South <br />RANGC (write number and check direction): R 61 _ East X West <br />SECTION (write number): 5 3 - Soul-h IlaLf <br />QUARTER SECTION (check one): NE NW _ SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE - <br />_ NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Approximate ly 7 1 /2 miles north~,~. B~s..,_ <br />from nearest town and <br />approximate elevation) Colorado. Approx imate elevatio+i = 5,400. <br />• <br />