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II IIIIIIIIIIIIIIII <br />~ ~~~m~~~ <br />REGULAR OPERATION (112) ~14R 2 5 1991 <br />RECLAMATION PERMIT <br />APPLICATION FORM waned Land <br />The application for a Regular Operation Reclamation Permit cont~{Rfs~'thre@''majbr`parts: <br />()) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include five (5) signed copies of tiie 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=~a==~~=__ ---- -~~?a=====__ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all Information described below. <br />1. Applicant/operator name: SAND CREEK FARMS, INC. <br />1.1 Type of organization (corporation, partnership, etc.): Coraoration <br />2. Operation name (pit, mine or site name): SAND CREEK MINE <br />2.1 I.R.S. Tax ID No. or Social Security No.: Tax ID No. <br />3. Permitted Acres: 40 Permitled acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section I4): $1,875.00 Application fee <br />/~ 4. Substance(s) to be mined (e.g., gravel/gold/borrow): SAND <br />5. Name of owner of surface of affected land: Sand Creek Farms, Inc. <br />6. Name of owner of subsurface rights of affected land: Sand Creek Farms, Inc. <br />If 2 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 1n: <br />COUNTY: ADAMS <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Mexico) _ Ute <br />TOWNSHIP (write number and check direction): T 3 _ North X South <br />RANGE (write number and check direction): R 61 _ East X West <br />SECTION (write number): S 3 - South half <br />QUARTER SECTION (check one): NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): _ NE - NW _ SE _ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Approximately 7 1/2 miles north of R~+Prs <br />from nearest town and Colorado. Approximate elevation = 5,900. <br />approximate elevation) <br />