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OAS L- <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832 -8106 <br />03 <br />STATE OF COLORADO <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />COLORADO <br />ON I V I S O N F <br />RCIMTI <br />MINING <br />SAFETY <br />C11ECK ONE: Lr l-_— There is it File Number Already Assigned to this Operation <br />Permit (f M _12" 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 1.11) <br />Permit 4 __M_- 1977 302 (provide for 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 I, 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 notarizeJ ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should hM be bound or in a 3 -ring binder; maps should be folded to <br />8 1/2" X 1 1" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and orderdescribed in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL Information requested below. <br />Applicant /operator or comnany natuc (name to be used on permit): Pete Lien & Sons Inc. <br />1.1 Type of organization (corporation, partnership, etc.): <br />2. Operation name (pit, mine or site name): Owl Canyon Quarry <br />3. Permitted acreage (new er existing site): <br />3.1 Change in acreage ( +) RECEIVED <br />3.2 Total acreage in Permit area NOV "12 2013 <br />4. FSS£: <br />4.1 New Application DIVISION OF RECLAMATION <br />4.2 New Quarry Application MINING AND SAFETY <br />4.4 Amendment Fee <br />4.5 Conversion to l 12 operation (set by statute) <br />5. Primary connnotlitie(s) to be mined: Limestone <br />5.1 Incidental commoditie(s) to be mined: I. 200,000 Ibs/Tonshc <br />270 permitted acres <br />6 acres <br />276 acres <br />$2,696.00 application fee <br />53.342.00 quarry application <br />$2.229.00 amendment fee <br />$2.696.00 conversion fee <br />2. / Ibs/Tons/vr <br />3. / tbs/Tons/yf 4. / Ib91'ons/yr 5. / lbsrfons/vr <br />5.2 Anticipated cod use of primary commodities) to be mined: Construction and Industrial Processes <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />rt J <br />