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~ <br />,. <br />,. ~CEIVED III ~~~~~~~~~~~~~~~~ <br />.. REGIIT.np OPERATION (11z> JUL 251995 999 <br />~°"~ RECLAMATION PHRMIT <br />APPLICATION FORM ~E~AAA,mr,corr~¢ ~ rr~~ <br />CHECK ONE: XX New Application (Rule 1.4.5) ~IV~~IeDY.2TA)a~on (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 8xhibit S and the Geotechnical Stability 8xhibit, 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" X 11" or 8 1/2" X 14" size. <br />To expedite processing, please provide the information in the format and order described <br />in this form. <br />_______________________________________________________~--1--=~0~0=_____________ <br />GENERAL OPERATION 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 /> 1.1 Type of organization (corporation, partnership, etc.): CorDOration <br /> 1.2 I.R.S. Tax ID No. or Social Security Number: <br />2. Operation. name (pit, mine or site name): Butcher Pit <br />3. Permi tted acreage (new or existing site) 90 pezmitted acres <br /> 3.1 Change in acreage (+ or -) N/A acres <br /> 3.2 Total acreage in Permit area 40 acres <br />4. Fees: <br /> 4.1 New Application 51,875.00 application fee <br /> 4.2 New Quarry Application 52.325.00 quarry application <br /> 4.3 Milling Application (Non-DMO) 53 .100.00 milling application <br /> 4.4 Amendment Fee 51.550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) onversion fee <br />51.500.00 <br /> c <br />cc <br />~~ <br />5. "" <br />Primary commoditie(s) to be mined: Soil fill material ~zence <br />6. Name of owner of surface of affected land: Henry Southway DBA So. Way Co. <br />7. Name of owner of subsurface rights of affected land: Henry Southway,Verda R.Wheeler <br /> If 2 or more owners, refer to 8xhibit O. <br />8. Type of mining operation: XX Surface IInderground Ia-situ <br />9. Location information: the center of the area where the majority of, mining will <br /> occur lies in: Alamosa <br />COIINTY: <br />6th (Colorado) ~ 10th <br />PRINCIPAL MERIDIAN (check one): (New Mexico) _ IIte <br />_ <br />SECTION (write number): S 8 <br />~ <br /> (write number and check direction): iT <br />T (L North _ South <br />RANGH (write number and check direction): R ~~ ,`~ Bast west <br />QIIARTER SECTION (check one): NS ~ NW _ S8 _ SW <br />QIIARTHR/QIIARTER SECTION (check one): ~ NH NW S8 _ SW <br />GENERAL DESCRIPTION (miles and direction f rom nearest town and approxima <br />elevation): 1/2 mile Southwest of Alamosa at 7550 feet above mean sea leve <br />QRIGINAL <br />