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~ III IIIIIIIIIIIIIIII rRECE~VE® <br />NOV 11988 <br />REGULAR (112) PERMIT MINBDLANp <br />APPLICATION FORM REOIAMATION DIVi310N <br />This form contains two major parts: (1) 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 as deck for the <br />application fee described under (4) below. To expedite processing, please provide the <br />information in the format and order described in this form. _ _ <br />___________________________________________________________ m=~~=fD-_~ ____- _~ci=a =_ <br />GENERAL OPERATION INFORMATION A / 3N 5, o'er <br />Type or print clearly, in the space provided, all information described below. <br />----------------------------------------------------------------------------------------- <br />----------------------------------------------------------------------------------------- <br />1. Applicant/Operator Name: WESTERN AGGREGATES, lNC. <br />2. Operation Name (Pit, mine or site name): Lightweight Aggregate Proiect <br />3. Application type: Regular (112) Permit Operation. <br />4. Application Fee for Permitted Acreage* ~ 108.04 permitted <br />acres. <br />($50.00 + $15.00/acre, 1st. 50 acres; <br />$10.00/acre, 2nd. 50 acres; b5.00/acre, 3rd. 50 acres; <br />$1.00/acre, any additional acreage; maximum fee of <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. ~ 1,345.00 application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): shale <br />6. Owners(s) of Substance to be tlined <br /> (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br /> (check applicable box(s)): ® Private p State ^ Federal ^ Indian <br />8. Type of i4ining 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: Jefferson <br />PRINCIPLE MERIDIAN check one ® 6th (Colorado) ^ 10th (New Mexico) ^ Ute <br />TOWNSHIP (write number and check direction): T 2 ^ North ® South <br />RANGE (write number and check direction): R 7p ^ East ® West <br />SECTION (write number): S 5 <br />QUARTER SECTION (check one): ® NE ^ MW ^ SE ^ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ NW ^ SE ^ SW <br />GENERAL DESCRIPTION: _ <br />(miles and direction annr~x;mately+ 5 miles south of Boulder, Colorado <br />from nearest town and <br />approximate elevation) along Colorado Highway 93 at an elevation of about <br />5950 feet <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 />