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~ ~ • iii iiiiiiiiiiiu iii <br />999 <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />- - =E6 1 8 1992 <br />Mined Land <br />The application for a Regular Operation Reclamation Permit contains three major parts: <br />(1) the application form; (Z) 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. <br />m <br />------- ----------- -------- -------------- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all Information described below. <br />1. Applicant/operator name <br />Gillett Sand and Gravel Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): <br />Gillett Pit <br />2.1 I.R.S. Ta <br /> <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): 31,875 Application fee <br />4. Substance<s> to be mined (e.g., gravel/gold/borrow) : Gravel <br />5. Name of owner of surface of affected land: Gillett Sand and Gravel Inc. <br />6. Name of owner of subsurface rights of affected land : Gillett Sand and Gravel Inc. <br /> If Z 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 /> PRINCIPAL MERIDIAN (check one): X 6th (Colorad o) 10th (New Mexico) _ Ute <br /> TOWNSHIP (write number and check direction): T 15 _ North X South <br /> RANGE (write number and check direction): R 69 _ East X West <br /> SECTION (write number): S <br /> QUARTER SECTION (check one): X NE NW SE SW <br /> QUARTER/QUARTER SECTION (check one): NW _ SE X SW <br />NE <br /> GENERAL DESCRIPTION: 0,3 f4ILES EAST OF _ <br />_ <br />THE OLD T04JN OF GILLETT, TELLER <br /> (miles and direction <br /> from nearest town and COUNTY, COLORADO, BETWEEN 9;950 AND 10,06n FEET <br /> approximate elevation) <br /> <br />