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II IIIIIIIIIIIIIIII ~ C°~~ ~ i <br />JUU 11 1~~~ <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />Division oXN~~11e~a~s °' ueo~ogY <br />CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit No. M- - (provide for ameadmeate 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) fixhibita A-S and Geotechnical Stability Exhibit; and, (3) the <br />application fee. When you submit your application, be sure to include one (11 signed and <br />notarized original and four (4) copies of the application form, five IS] copies of Exhibits <br />A-R and any required sections of Hxhibit 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-riag 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. -/)~~Sv <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the apace provided, all information described below. <br />6 <br />S F <br />1. Applicant/operator or company name (name to be used on permit): <br />Donald & Kathr~'n (Jeber & Sons, dba lJeber Sand and Gravel <br /> 1.1 Type of organization (corporation, partnership, etc.): rartnersnip <br /> 1.2 I.R.S. Tax ID No. or Social Security Number: <br />2. Opera tion. name (pit, mine or site name): Weber Pit Mo. 2 <br />3. Permi tted acreage (new or existing site) 50.94 permitted acres <br /> 3.1 Change is acreage (+ or -) ~ acres <br /> 3.2 Total acreage in Permit area acres <br />4. Fees: <br /> 4.1 New Application S1.875.00 application fee <br /> 4.2 Ner Quarry Application 52 .325.00 quarry application <br /> 4.3 Milling Application (Nos-DMD) 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) 51.500.00 conversion fee <br />5. Primary c~*+~~+tiels) to be mined: Sand and Gravel <br />6. Name of owner of surface of affected land: Julian and Helen Hatha~~~ay <br />7. Name o£ owner of subsurface rights of affected land: Julian and !{elan Hathaway <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: Archuleta <br />COUNTY: <br />PRLNCIPAL MERIDIAN (check one): _ 6th (Colorado) X 10th (New Mexico) _ IIte <br />SECTION (write number): S T+ <br />TOWNSHIP (write number and cheek direction): T ~- X N <br />RANGE (write number and check direction): R ~_ Eaet ~[ Weet <br />QDARTER SECTION (check onel: _ NE ~, NW _ SE _ SW <br />QDARTER/QOARTBR SECTION (check one): NE ~ NW SE SW <br />GENERAL DESCRIPTION (miles and direction from nearest town and approximate <br />elevation): <br />Approximately 2.8 miles north-northeast of Pagosa Springs. <br />Approximately 7,560 feet elevation. <br />OFF CE <br />ORIGINAL <br />