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<br />REGULAR (112) PERMIT <br />APPLICATION FORM <br /> This form contains two major parts: (1) General Operation Information and (2) Exhibits <br /> A-P. When you submit your application, be sure to include four signed copies of the <br />' General Operation <br />application fee de Information, four copies of Exhibits A-P, and a cil-eck for the <br />scribed under (4) below: To expedite processing <br />please provide the <br /> , <br /> information in the <br />__________________ format and order described in this form. <br />___________ ~ _ ~3~ <br />--~==9~=~~=_= P~ ~~ ==Q <br />' GENERAL OPERATION INFORMATION cK a a9a q ~,i.~D-GeJ <br /> Type or print clearly, in the space provided, all info rmation described below. <br />1, Applicant/Operator Name: UNITED COMPANIES OF MESA COUNTY, INC. <br />2. Operation Name (Pit, mine Or Site name): VIRGINIA ACRES <br />3. Application type: Regular (112) Permit Operation. <br />' 4. Application Fee for Permitted Acreage* ~~.~ permitted <br />acres. <br />(550.00 + 515.00/acre, 1st: 50 acres; <br />' 510.00/acre, 2nd. 50 acres; S5, 00/acre, 3rd. 50 acres; <br />51.00/acre, any additional acreage; maximum fee of <br />E2,000,00).* <br />Note permitted acreage and application fee and <br />' attach a check for this amount when you file: ss2o.oo application-fee. <br />5. Substance(s) to be mined (e: g:; gold/silver/gravel): sang x rravPl <br />' 6. Owners(s) of Substance to be Mined <br />(check applicable box(s)): x Private State Federal Indian <br />t 7. Owner(s) of Record of Affected Land - - - <br />(check applicable box(s):): x Private State Federal Indian <br />' 8. Type of Mining Operation - - <br />(check appT~icabl~e box(s)): ~ Surface Underground In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />' occur lies in: <br />1 <br /> <br />1 <br />COUNTY: Mesa <br />PRINCIPLE c ec one 6th (Colorado) <br />TOWNSHIP (write member and check direction): 7 1 <br />RANGE (write number and check direction): R 1 <br />SECTION (write number): S 20 <br />QUARTER SECTION (check one): -R~ <br />QUARTER/QUARTER SECTION (check one): x NE <br />GENERAL DESCRIPTION: <br />(miles and• direction 1 mile East and 1 mile <br />from nearest town and <br />10th (New Mexico) x Ute <br />North x South <br />x East - West <br />NW x SE SW <br />NW - SE - SW <br />South of Grand Sunction <br />approximate eTevation)' Elevation - 4600 feec <br />t <br />* If the operator is a urrtt of State or county government, an application fee is not <br />required. A fraction~of an acre must be counted as one acre for fee calculation. <br />1 <br />