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03 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL Information requested below. <br />Department of Natural Resources <br />1. Applicant <br />1313 Sherman St., Room 215 <br />[COLORADO <br />Denver, Colorado 80203 <br />D I V I S I O N OF <br />Phone: (303) 866 -3567 <br />RECLAMATION <br />FAX: (303) 832 -8106 <br />MINING <br />3. Permitted <br />acreage (new or existine site): 270 <br />permitted acres <br />SAFETY <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />C11ECK ONE: ✓0.— There is a File Number Already Assigned to this Operation <br />Permit # _�" 302 (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule LI 1) <br />Permit # _Ivy.- 1977 302 (provide I -or Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A -S, Addendum I, appropriate sections of6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3 -ring binder; maps should be folded to <br />8 1/2" X 11" or 8 1/2" X 14" sire. To expedite processing, please provide the information in the format and order described in this form. <br />\ I tl J <br />�v � <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL Information requested below. <br />1. Applicant <br />/operator or company name blame to be used on permit): Pete Lien & Sons Inc. <br />1.1 <br />Type of organization (corporation, partnership, etc.): <br />2. Operation <br />name (pit. mine or site name): Owl Canyon Quarry <br />3. Permitted <br />acreage (new or existine site): 270 <br />permitted acres <br />3.1 <br />e <br />Change in acreage ( +) RECEIVED 6 <br />acres <br />3.2 <br />Total acreage in Permit area Nov 12 2013 276 <br />acres <br />4. f=: <br />4.1 <br />New Application OF RECLAMATION <br />4.2 <br />Quarry pP DIVISION 63.342.00 <br />New Q Application MINING AND SAFETY <br />quarry application <br />4.4 <br />Amendment Fee 52.229.00 <br />amendment fee <br />4.5 <br />Conversion to 112 operation (set by statute) 62.696.00 <br />conversion fee <br />5. Primary commoditie(s) to be mined: Limestone <br />5.1 <br />Incidental commoditie(s) 00,000 <br />s) to be mined: I. Ibs/Tons/vr 2. / <br />Ibs/Tons/vr <br />3. / lbs/Tons/vr 4. / lbs/Tons/yr 5. / <br />Ibs/Tons/vr <br />Construction and Industrial Processes <br />5.2 <br />Anticipated end use of primary commoditie(s) to be mined: <br />5.3 <br />Anticipated end use of incidental commoditie(s) to be mined: <br />\ I tl J <br />�v � <br />