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III IIIIIIIIIIIII III ;,4~: ~ Rr,~"'~~ <br />REGULAR OPERATION (112) '.. ~ L ~ 1yy6 . <br />RECLAMATION PHRMIT <br />APPLICATION FORM <br />CHECX ONE: X New Application (Rule 1.4.5) ~~~y~y~t .*~./_~/licati~, (Rule 1.10) <br />.+~.~J~V~i VI ,V~ i1NQ1,~ ~x U1~V~ I <br />Co//n~~v//e--rsion Application (Rules 1.11) <br />Permit No. M- '"II.V - 0~R (provide for amendments and conversions of existing <br />permits) <br />The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S and Geotechnical Stability Hxhibit; and, (3) the <br />application fee. When you submit your application, be sure to include one (1) signed and <br />notarized original and four (4) copies of the application form, five (5) copies of Exhibits <br />A-R and a~ required sections of Exhibit S and the Geoterhaical Stability Exhibit, and a <br />check for the application fee described under Section (16) on Page 3. Hxhibits should not <br />be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. <br />To expedite processing, please provide the information in the format and order described <br />in this form. - <br />-- - --- <br />----- ----------- -------------- <br />---------------------- ------------ ------ ------------ -- <br />GHNHRAL OPERATION INFORMATION <br />Type or print clearly, in the apace provided, all information described below. <br />3 F <br />1. Applicant/operator or company name (name to be used on permit): <br />4lestern Gravel. Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax ID No. or Social Security Number: <br />2. Operation. name (pit, mine or site name): North R-34 Pit <br />3. Permitted acreage (new or existing site) 37.41± permitted acres <br />3.1 Change in acreage (+ or -) acres <br />3.2 Total acreage in Permit area acres <br />4. Fees: <br />4.1 New Application 51.875.00 application fee <br />4.2 Pew Quarry Application 52,325.00 quarry application <br />4.3 Milling Application (Non-DMO) 53.100.00 milling application <br />4.4 Amendment Fee ~ 51.550.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) 51.500.00 conversion fee <br />5. Primary commoditie(s) to be mined: Sand and Gravel <br />6. Name of owner of surface of affected land: Refer to Exhibit 0 <br />7. Name of owner of subsurface rights of affected land: Refer to Exhibit 0 <br />If 2 or more owners, refer to 8xhibit O. <br />e. Type of mining operation: ~ Surface Onderground In-situ <br />9. Location Information: the center of the area where the majority of.miaing will <br />occur lies ia: <br />COOtaTy: Montrose <br />PRINCIPAL MERIDIAN (check one): _ 6th (Colorado) a 10th (Aew Mexico) _ Dte <br />SECTION (write number): S <br />TOWASHIP (write number and check direction): T 1Y North South <br />RANGH (writ d check direction): R Hast ~ West <br />QLTARTHR SECTION (check one): _ NE _ NW `~ SE SW <br />Q~RTER/QUARTER SECTION (check one): NE NW SH g SW <br />GHNHRAL DESCRIPTION (miles and direction from nearest town and approximate <br />elevation): Approximately 2.5 miles northwest of Montrose. <br />Approximately x,670 ft. elevation. <br />