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• III IIIIIIIIIIIII III ~, ~~ _~ <br />• MAR 101988 <br />REGU_AR (112) PERMIT MINED LANG <br />APPLICATION FORM <br />GlECLAMATION t71VISlOhI <br />This form contains two major parts: (I) 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 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 ih the format and order described in this form. -. <br />__________=~_________________________________________________~=ifs =Di ~===~J z1~= $_1=y~er~ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: Midway Sand & Gravel, Inc. <br />2. Operation Name (Pit, mine or site name): Midwav Pit <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* 540 pe miffed <br />acres. <br />(550.00 + 515.00/acre, 1st. 50 acres; <br />510.00/acre, 2nd. 50 acres; 55.00/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. $1940.00 appli~ pion fee. <br />5. Subst+rnce(s) to be mined (e. g., gold/silver/gravel): Sacrd and Gravel <br />6. Owners(s) of Substance to be 14ined <br />(check applicable box(s)): ~ Private ^ State ^ Federal ~_~ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): ® Private ^ State ^ Federal p 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: E1 Paso <br />PRINCIPLE MERIDIAN check one Q 6th (Colorado) ^ 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T 17 ^ North C}a South <br />RANGE fwrite number and check direction): R 65 ^ East F~ West <br />SECTION (~ rite number): S 27 <br />QUARTER SECTION (check one): p~2f~ NW ^ SE ^ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE p SW <br />GENERAL DESCRIPTION: <br />(miles and direction 9 miles South of Form fain Colo. Exit #119 <br />from nearest town and <br />approximate elevation) avpro. 5300 feet elevation <br />* If the ~~perator 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 />