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<br />U <br />REGULAR OPERATION (112> <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />Tire application for a Regular Operation Reclamation Permit contains three major parts: <br />(1) tl~e application form; (2) Exhibits A-S; and, (3) the application fee. bllien you <br />submit your application, be sure to Include five (5) signed 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 />the 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 />---------- ---- ------------ ------- <br />1. Applicant/operator name: SAND CREEK FARMS, INC. _ <br />1.1 Type of organization (corporation, partnerstrip, etc.): Coraoration __ <br />2. Operation name (pit, mine or site name): SAND CREEK MINE _ <br />2.1 l.R.S. Tax ID No. or Social Security No.: Tax ID No. <br />3. Permitted Acres: 40 Permitted acres <br />Please Indicate acreage to the nearest tenth (10th) acre. <br />• 3.t Aiipllcation Fee (see Section 14): $2,325.00 Application Fee <br />4, SUbStdlrCe(5) to be mined (e.g., gravel/gold/borrow): Sand/Gravel _ <br />5. Name of owner of surface of affected land: Sand Creek Farms, l.nc. <br />G. Name of owner of subsurface rights of affected land: Sand Creek Farms, ].nc. <br />if 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: X Surface _ Underground <br />B. Location Information: the center of the area where lire majority of mining will <br />occur Iles In: <br />COUNTY: ADAMS <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />TOWNS11I1' (write number and check direction): T _ <br />3 _ North x South <br />RANGE (write number and check direction): R 61 _ East X West <br />SECTION (write number): 5 3 - South Aalf <br />QUARTER SECTION (check one): NE NW _ SE SW <br />QUAItTER/QUARTER SECTION (check one): _ NE _ NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Approximately 7 1 /2 miles nor tlt~f ~]}'Prc <br /> <br />from nearest town and . ,_ <br />Colorado. Approximate elevation = <br />approximate elevation) ;,900. <br />• <br />