REV94098

• Permit No: M1976051
• IBM Index Class Name: Revision
• Doc Date: 10/1/1986
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

• III IIIIIIIIIIIIIIII ~ RECEIVED
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REGULAR (112) PERMIT M(NEO LANG RECIAMATff)~f
• APPLICATION FORM Caro
aM• of Miitll-il Aewurc
This form contains two mafor parts: (1) General Operation Information and (2) Exh~its
A-P. When you submit your application, be sure to include four si~~ne~~d~ copies of the
General Operation Information. four copies of Exhibits A-P, and as cock for the
application fee described under (4) below. To expedite processing, please provide the
information in the format and order described in this form.
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GENERAL OPERATION INFORMATION
Type or prtnt clearly. in the space provided. all information described below.
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1, Applicant/Operator Name: Bettger Sand & Gravel
2. Operation Name (Pit, mine or site name): Bettper Sand & Gravel ,
3. Application type: Regular (112) Permit Operation, ,
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4, Application Fee for Permitted Acreage* 12.5 8 permitted
acres,
(E50.00 t =15,00/acre, 1st. 50 acres;
E10,00/acre, 2nd. 50 acres; E5.00/acre, 3rd. 50 acres;
51.00/acre, arty additional acreage; maximum fee of
000, 00 ). *
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Note permitted acreage and application fee and ~
attach a check for this amount when you file. $2u5.00 application fee.
5. Substance(s) to be mined (e. g., gold/silver/gravel): sand & grave 1
6. Owner=(s) of Substance to be Mined
(check applicable box(s)): ~ Private p State ^ Federal ^ Indian
7. Owner(s) of Record of Affected Land
(check applicable Dox(s)): ~ Private ^ State ^ Federal p Indian
8, Type of Mining Operation
(check applicable box(s)): L~! Surface ^ Underground ^ In-situ
9. Location Information, The center of the area where the ma,)ority of mining will
occur lies 1n:
COUNTY: Routt
PRINCIPLE M R D chec one ~ 2~ 6th (Colorado) D 10th (New Mexico) D Ute
TOWNSHIP (write number and check direction): T 6 ® North ^ South
RANGE (write number and check direction): R 8F'- D East R)K West
SECTION (write number): S 4
QUARTER SECTION (check one): 01J~ D NW O SE ~ SW
QUARTER/QUARTER SECTION (check one): ^ NE tF3 NW O SE D SW
GENERAL DESCRIPTION:
(miles and direction 6 miles west of Steamboat Springs
from nearest town and
• approximate elevation) 6720 - 6780 ASL
' If the operator is a unit of State or county government. an application fee is not
required. A fraction of an acre must be counted as one acre for fee calculation.