Laserfiche WebLink
r� <br /> III IIIIIIIIIIIII <br /> 99 REGULAR OPERATION (112) <br /> RECLAMATION PERMIT <br /> APPLICATION FORM <br /> CHECK ONE: , X _ New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br /> Conversion Application (Rule 1-11) <br /> Permit No. M- - (provide for amendments and conversions of existing <br /> permits) <br /> The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br /> the application form; (2) Exhibits A-S and Geotechaical Stability Exhibit; and, (3) the <br /> application fee. When you submit your application, be sure to include one (1) signed and <br /> notarized original and four (4) copies of the application form, five (5) copies of Exhibits <br /> A-R and any required sections of Exhibit S and the Geotechnical Stability Exhibit, and a <br /> check for the application fee described under Section (16) on Page 3. Exhibits should not <br /> be bound or in a 3-ring binder; maps should be folded to 8 1/2" % 110 or 8 1/2" % 14" size. <br /> To expedite processing, please provide the information in the format and order described <br /> in this form. <br /> GENERAL OPERATIC.`? INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> 1. Applicant/operator or company name (name to be used on permit) : <br /> Akron Ready Mix <br /> 1.1 Type of organization (corporation, partnership, etc.) : Corporation <br /> 1.2 I.R.S. Tax ID No. or Social Security Number: 84-0804085 <br /> 2. Operation. name (pit, mine or site name) : Elrick Pit <br /> 3. Permitted acreage (new or existing site) 36 . 7 permitted acres <br /> 3.1 Change in acreage (+ or -) acres <br /> 3.2 Total acreage in Permit area 'IF) .7 acres , <br /> 4. Fees: <br /> 4.1 New Application $1,875.00 application fee <br /> 4.2 New Quarry Application $2.325-00 quarry application <br /> 4.3 Milling Application (Non-DMO) $3,100.00 milling application <br /> 4.4 Amendment Fee $1.550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) $1,500-00 conversion fee <br /> S. Primary commodities) to be mined: Sand and Gravel <br /> 6_ Name of owner of surface of affected land: William & Marilyn Elrick <br /> 7. Name of owner of subsurface rights of affected land: William & Marilyn Elrick <br /> If 2 or more owners, refer to Exhibit O_ <br /> 8. Type of mining operation: X Surface _ Underground , In-situ <br /> 9. Location Information: the center of the area where the majority of. mining will <br /> occur lies in: <br /> COUNTY: Washington <br /> PRINCIPAL MSR=IAN (check one) ; 6th (Colorado) 10th (New Mexico) _ Ute <br /> SECTION (write number) : S 17 & 11 <br /> TOWNSNIP (write number and check direction) : T = X_ North South <br /> RANGE (write number and check direction) : R r East 7� West <br /> QUARTER SECTION (check one) : — NE _NW _ SE _ SW see helot. <br /> QUARTER/QUARTER SECTION (check one) : NE NW — SE _ SW <br /> GENERAL DESCRIPTION (miles and direction from neares= town and approximate <br /> elevation) : F%SEa Sec 10 and N;_&Stia2 Sec.11 Twp 2N51W; 8 miles east <br /> of Akron at Platner ; elevation about 4400 feet . <br />