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REGULAR (112) PERMIT <br />APPLICATION FORM <br />This form contains two mafor parts: (1} General Operation Information and (2) Exhibits <br />A-P. When you submit your application, be sure to include four sig~n_e~_d copies of the <br />General Operation Information, four copies of Exhibits A-P, and as CFeck for the <br />application fee described under (4) below. To expedite processing, please provide the <br />information in 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 />1. Applicant/Operator Name: C & M Companies <br />2. Operation Name (Pit, mine or site name): Platte yallev Pit <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* 141 permitted <br />acres. <br />(E50.00 + 515.00/acre, 1st. 50 acres; <br />(10.00/acre, 2nd. 50 acres; f5.00/acre, 3rd. 50 acres; <br />=1.00/acre, any additional acreage; maximum fee of <br />s2,ooo.oo).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. g1,5os.00apptication fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): Gang any rra~,Pi <br />6. Owners(s) of Substance to be Mined <br />(check applicable box(s)): ~ Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected land <br />(check applicable box(s)1: ~ Private ^ State O Federal O Indian <br />8. Type of Mining Operation <br />(check applicable 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 />COUNTY: _ <br />PRINCIPLE ME N c ecc e ~ &~ 6th (Colorado) ^ 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T___1__ ~; North O South <br />RANGE (write number and check direction): R ~- ^ East ~ West <br />:SECTION (write number): S ~n-- <br />QUARTER SECTION (check one): O NE ^ NW ^ SE ~ SW <br />QUARTER/QUARTER SECTION (check"one): ZY NE O NW ^ SE p SW <br />GENERAL DESCRIPTION: <br />(miles and direction 1 mile SE of Wattenberg, 4 miles south of <br />from nearest town and ELEv <br />approximate elevation) 4940 Ft_ Iiypton. 2 m; lec north of Bricr ton <br />* USGS <br />If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one atre for fee calculation. <br />