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~ IIIIIIIIIIIIIIIIIII • •'• RE;,~,~~o <br />F ,.~..~.,~•~n9iun 1'ERMIT12) MAY 18 1994 <br />APPLICATION FORM <br />Division of Frinerais d Decd n <br />CHECK ONE: X New Application (Rule 2) Amendment Application (Ru5'~ 1.8> <br />Conversion Application (Rule 1.10) <br />The application for a Regular Operation Reclamation Permit contains three major parts: <br />(1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include one (1) signed original and four (4) signed <br />copies of the application form, five (5) copies of Exhibits A-S, and a check for the <br />application fee described under Section (14> on Page 3. To expedite processing, please <br />provide the information in the format and order described in this form. <br />. ~/ <br />C 09 3 3 O ^~ <br />GENERAL OPERATION INFORMATION ~j 7 3~ <br />Type or print clearly, in the space provided, all information desc ibed below. <br />1. Applicant/operator name: Tony F. Appelhanz - Base Products <br />1.1 Type of organization (corporation, partnership, etc.): One Owner Co. <br />2. Operation name (pit, mine or site name): Base Products Gravel Pit #1 <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: 13.5 Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee (see Section 14): $ 1$75.00 Application fee <br />4. Substance(s) to be mined (e.g., gravel/gold/borrow): sand/gravel/borrow <br />5. Name of owner of surface of affected land: George Appelhanz & Tony Appelhanz <br />6. Name of owner of subsurface rights of affected land: George Appelhanz & Tony Appelhanz <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 in: <br />COUNTY: Montrose <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) X 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 49 X North South <br />RANGE (write number and check direction>: R 10 _ East X West <br />SECTION (write number): S 13 <br />QUARTER SECTION (check one>: NE NW SE X SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ <br />NW X SE SW <br />GENERAL DESCRIPTION: _ _ _ <br />(miles and direction 2 1/7_ Hiles NW of Mon trose - 5300' elevation <br />from nearest town and <br />approximate elevation) <br />ORIGINAL <br />