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EXHIBIT N <br /> (Source of Legal, Right to Enter) <br />Form 5510-t <br />(August 2001) FORM APPROVED <br />UNITED STATES OMB No. 1004-0001 <br /> DEPARTMENT OF THE INTERIOR Expires: March 31, 2010 <br /> BUREAU OF LAND MANAGEMENT Perm it Num ber <br /> SMITH PIT #20 COC 62336 <br /> FREE USE APPLICATION AND PERMIT Expiration Date <br /> VEGETATIVE OR MINERAL MATERIAL 09/09/2018 <br /> District <br /> APPLICATION CRAIG <br />Name of applicant <br />MOFFAT COUNTY ROAD DEPARTMENT Address (include sip code) PO BOX 667 <br /> 822 E. 1ST STREET <br /> CRAIG CO 81626 <br />Kind of material <br />SAND AND GRAVEL Estimated quantity 150,000 Cy <br />Give legal land description <br />T-Owme ? SEC[ION SUBDIVISION <br />T12N R93W 18 LOT 4, 10, 11, W'/1 LOT 5 (39.68 ACRES) <br />T12N R94W 13 LOT 1, LOT 5, E% LOT 14 (29.4 ACRES) <br />State of COLORADO County of <br />MOFFAT <br />Materials are to be used for SURFACING COUNTY ROADS <br />I HEREBY AGREE TO COMPLY WITH the special conditions as set forth below I CERTIFY That the: (a) materials to be removed are to be used for the purpose noted <br />above; (b) none of the materials removed are to be sold or battered; (c) removal of materials can begin only upon receipt of an approved copy of this permit; and, (d) the <br />Bureau of Land Management (BLM) must be notified upon completion of removal. <br />I CERTIFY That I am a citizen of the United States, and of the age of majority in the State in which I reside. <br />I FURTHER CERTIFY That the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief and are made in good <br />faith. <br /> <br />Tide 18 U.S.C. Section 1001, makes it a crime forany person knowingly and willfully to make to any department or agency of the United States any false, fictitious, or fraudulent statements or <br />representations as to any matter within its jurisdiction. <br />PERMIT <br />SPECIAL CONDITIONS <br />This permit is hereby issued for the materials applied for but may be canceled if it appears that this permit was issued erroneously or the terms or conditions contained <br />herein are not observed. It will be subject to the following special conditions: <br />SEE ATTACHED <br />Conservation practices out he carried can as provided by 43 CFR 5511. 1-1(b),2-3(c), <br />and.3-3; <br />Equipment, peal property, and improvements must be removed within ninety (90) <br />days after expiration date 43 CFR 5511.3-5); <br />Any use of the surface of the lands involved in this Permit must not interfere with <br />any mining claim subject to the provisions of Section 4 of the Act of July 23, 1955 <br />(30 U.S.C jl3); <br />06 <br />The permittee must dean up all work areas and must remove or dispose of all refuse <br />resulting from the pemtitteds operations; <br />This permit is issued under the Act ofAdy 31, 1947, as amended, and 43 US.C. and <br />1201, and under the flee use privilege of the Act ofMay 14,1898 (Alaska only). <br />An airmail report indicating the amount (cu. yds. or tons) of material removed must be <br />filed with the District Office an the anniversary date of the permit, or within thirty (30) <br />days Oerpennitexpiration (Alaska ?only). `? <br />? h-.` tS <br />(Continued on page 2) APPLICANT <br />? A FIELD OFFICE