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~, i. ~ ~ 1 day `,~ .:~ <br />NOV 2 8 1990 <br />REGULAR (112) PERMIT Mined Land <br />APPLICATION FORM Reclamaiion Dil~iaior <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-P. When you ~~ubmit your application, be sure to include four signed copies of the <br />General Operation Information, four copies of Exhibits A-P, and aTk for the <br />application fee described under (4) below: To expedite processing, please provide the <br />information in 1;he format and order described in this form. _ <br />_______________~=____________________________________________ ~ =9~=='~yY =_-__ =1 Yy5'~= <br />GENERAL OPERATION INFORMATION #S~•~ <br />Type or priint clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: Southway Construction Co., Inc. <br />2. Operation IJame (Pit; mine or site name): Fillmore ric (11z) <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* 3z permitted <br />acres. <br />(550.00 + :615.00/acre, 1st. 50 acres; <br />510.00/acrra, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres; <br />51.00/acre, any additional acreage; maximum fee of <br />52,000.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. S53o.oo application fee. <br />5. Substance(:s) to be mined (e: g:; gold/silver/gravel): sand b Gravel <br />6. Owners(s) ~~f Substance to be Mined <br /> (check ,applicable box(s)): x Private _ State _ Federal _ Indian <br />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 applicable box(s)): 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: Pueblo <br />PRINCIPLE c c one 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T zi North x South <br />RANGE (write number and check direction): R 61 - <br />East x West <br />SECTION (write number): S T- _ <br />QUARTER SECTION (check one): -R1~ NW ~ SE SW <br />QUARTER/QUARTER SECTION (check one): ~ = NE SE ~ <br />- NW SW <br />GENERAL DESCRIPTION: _ <br />~ <br />(miles and direction 5.8 miles East of Boone, Porth of and adjacent to <br />from nearest town and <br />approximate elevation) State Highway 96. <br /> <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 acre for fee calculation. <br />