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i-iiiiiiiiiiiiiiii '. <br />999 <br />l.i Type of organization (corporation, partnership, etc.): <br />SPECIAL OPERATION (111 ) NOV 2 31992 <br />RECLAMATION PERMIT <br />APPLICATION FORM DIVISION U'r <br />IdINERALS & GEOLOGY <br />The application for a Special Operation Reclamation Permit contains thrze major parts: <br />1) the application form; 2) Exhibits A-J and, 3) the application fee. When you submit <br />your application, be sure to include two (2) signed copies of the application form, two <br />C2) copies of Exhibits A-J, and a check for the application fee described under (3) <br />below. To expedite processing, please provide the information in the format and order <br />described in this form, <br />C 3 09 3 9 .9 3 3 3 3 .. .. S _3 <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />3 'JJ 9 3 S .3.3.903_5 3 5 3 3 3 J 3 .. ~. <br />1. Applicantfoperator name: CARDER, INC. Y1^,_ga-1~3 <br />2 <br />3 <br />4 <br />5 <br />RECEIVEQ <br />CORPORATION <br />Operation Name (Pit, mine or Site name): VERHOEFF PIT 11 2 <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />Permitted Acreage <br />3.1 Application Fee <br />Substance(s) to be mined (e.g., sand/gravel/borrow): <br />Name of owner of surface of affected land: <br />9.9 permitted acres <br />5625.00 application fze <br />SAND & GRAVEL <br />VERHOEFF, INC. <br />6. Name of owner of subsurface rights of affected land: vERxoEFF, INC. <br />7. Type of mining operation: X Surface _ Underground __ In-situ <br />8. Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: BENT <br />PRINCIPLE MERIDIAN (check one): x 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP Cwrite number and check direction>: T 22 North x South <br />RANGE (write number and check direction): R 49 _ <br />_ East x West <br />SECTION (write number): S 32 <br />QUARTER SECTION (check one): x NE NW <br />SE S+i <br />QUARTERlQUARTER SECTION (check one): _ <br />_ NE _ _ <br />NW <br />SE SW <br />GENERAL DESCRIPTION: ' _ _ <br />(miles and direction APPROXIMATELY <br />1 MILE SOUTH AND 2 MILES <br />~ <br />from nearest town and EAST QF`HASTY <br />/ COLORA <br />O <br />, <br />approximate elevation) I D <br />~~1~.~9 , f~l'~~j <br />~) r <br />