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1 • • III IIIIIIIIIIIIIIII <br />REGULAR (t l2) PERMIT <br />APPLICATION FORM <br />This form contains two major parts: (1) General Operation Information and (2) Ezhibits <br />A-P. When you submit your application, be sure [o include four si ned copies of the <br />General Operation lnformatioa, four copies o[ Ezhibits A-P, and a check for the <br />application fee described under (4) below. To ezpedite processing, please provide the <br />information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or Drint clearly, In the space provided, all information described below. <br />1. Applicant/Operator Name: Robinson Brick Comoanv. <br />2. Operation Name (Pit, mine or site name): Buffalo Mine. <br />3. Application type: Regular (1 l2) Permit Operation . <br />4. Application Fee for Permitted Acreage' 415.0 permitted <br />acres. <br />' (550.00 ~ E 15.00/acre, 1st. 50 acres; <br />E10.00/acre, tad. 50 aces; 15.00/acre, 3rd. 50 acres; <br />E1.00/acre, any additional acreage; mazimum fee o[ <br />E2,000.00).' See Rule 2.1.1(14). <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. E 1.850.00 conversion fee. <br />5. Substance(s) to be mined: Clav. Clav Derivatives & Subsoil. <br />6. Owner(s) of Substance to be Mined <br />(check applicable boz(s)): X Private ^ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable boz(s)): X Private ^ State ^ Federal ^ Indian <br />8. Type of Mining Operation <br />(check applicable boz(s)): X Surface ^ Underground ^ In-situ <br />9. Location information. The center oC the area where the majority of mining will <br />occur lies in: <br />COUNTY: Elbert. <br />PRINCIPLE MERIDIAN (check one): X 6th (Colorado) ^ IOth (New Mezico) ^ Ute <br />TOWNSHIP (write number and check direction): T 7 ^ North X South <br />RANGE (write number and check directionk R 62 ^ East X West <br />SECTION (write number): S~ <br />QUARTER SECTION (check one): ^ NE X NW ^ SE ^ SW <br />QUARTER/QUARTER SECTION (check one): ^^ NE X NW ^ SE ^ SW <br />GENERAL DESCRIPTION: (miles and direction form nearest town and approzimate <br />elevation. ) <br />Aoorozimately 7 5 miles Northeast of Kioaa. Colorado at aoorozimately 6000 feet <br />elevation. <br />' if the operator is a unit of State or county government, an application fee is not <br />required. A traction of an acre must be counted as one acre for fee calculation. <br /> <br />