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III IIIIIIIIIIIIIIII ~~;~~~~~, <br />_, <br />REGULAR OPERATION (112)' JAN 2 8 1999 <br />RECLAMATION PERMIT Mined Land <br />APPLICATION FORM qo,,,,,._,~,,,.~~ ~, . <br />The application fora Regular Operation Reclamation Permit contains three major parts: <br />(1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include five (5) signed copies of the application <br />form five (5) copies of Exhibits A-S, and a check for the application fee described <br />under Section (14) on Page 3. To expedite processing, please provide the Information in <br />the format and order described in this form. rn,c~~ _ ------!) ~ ~ ~ ~a <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below, <br />_____________°___________~__°°___=====r==°'=______________°_________=___°________~___°__ <br />Applicant/operator name: Gillett Sand and Gravel, Co., Inc. <br />2 <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: 32 Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 '.Application fee (see Section 14): 51,875 Application fee <br />4. Substance(s) to be mined (e.g., gravellgold/borrow): Gravel <br />5. Name of owner of .surf ace of affected land: Gillett Sand and Gravel Co., Inc. <br />6. Name of owner of subsurface rights of affected land :Gillett Sand & Gravel Co., Inc. <br />If 2 or more owners, refer to Exhibit P. <br />7. Type of mining operation: X Surface _ Underground <br />8. Location Information: the center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Teller <br /> <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />Operation name (pit, mine or site name): Gillett Pit <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T y~_ North X South <br />RANGE (write number and check direction): R ,mac _ _ East ~ West <br />SECTION (write number): S _~ <br />QUARTER SECTION (check one): ~ NE NW SE SW <br />QUARTERlQUARTER SECTION (check one): _ NE _ NW _ SE ~ SW <br />GENERAL DESCRIPTION: 0.3 miles east of the old town of Gillett, Teller <br />(miles and direction <br />from nearest town and <br />approximate elevation) County, Coloradoa between 9,950 and 11,060 feet <br />