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~m REGULAR OPERATION (112) RECLAMATION PERMIT APPLICATION FORM NOV < <a t992 F,~INEFti~~ The application for a Regular Operation Reclamation Permit contains`t;~ir>i'e''fna~b~r parts: (1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you submit your application, be sure to include five (5) signed copies of the application form five (5) copies of Exhibits A-S, and a check for the application fee described under Section (14) on Page 3. To expedite processing, please provide the information 1n the format and order described in this form. GENERAL OPERATION INFORMATION Type or print cleariy, in the space provided, all information described below. 1. Appitcant/operator name: corn Construction, co. 1.1 Type of organization (corporation, partnership, etc.): corporation 2. Operation name (pit, mine or site name): Latham craves Pit 2.1 I.R.S. Tax ID No. or Social Security No.: 3. Permitted Acres: igo.7 Permitted acres Please indicate acreage to the nearest tenth (10th) acre. 3.1 Application fee (see Section 14): Application fee 4. Substance(s) to be mined (e.g., gravel/gold/borrow): sand and caravel 5. Name of owner of surface of affected land: Thomas Tatham/xenneth i3urkett 6. Name of owner of subsurface rights of affected land: I~i~ove If 2 or more owners, refer to Exhibit P. 7. Type of mining operation: ~ Surface _ Underground 8. Location Information: the center of the area where the majority of mining will occur ifes in: COUNTY: Mesa PRINCIPAL MERIDIAN (check one>: x 6th (Colorado) TOWNSHIP (write number and check direction): T 8 RANGE (write number and check direction): R 97 SECTION (write number>: S 34 QUARTER SECTION (check one>: _ NE QUARTER/QUARTER SECTION (check one): _ NE GENERAL DESCRIPTION: 10th CNew Me _ North East ~ NW ~ NW _ Kico) Ute x South x West SE SW SE _ SW (miles and direction 1/2 mile south of DeBeaue Colorado from nearest town and approximate elevation) 5000 ,PEV /o /!8/QL