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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />9'9 <br />Department of Natural Resources <br />3.1 Change in acreage ( +) <br />1313 Sherman St, Room 215 <br />acres <br />Denver, Colorado <br />COLORADO <br />Phone: (303) 8663567 CONSTRUCTION MATERIALS <br />FAX: (303) 832-8106 REGULAR (112) OPERATION <br />RECLAMATION <br />MINING <br />RECLAMATION PERMIT APPLICATION FORM <br />S 696.00 <br />application fee <br />SAFETY <br />✓0 <br />Bill Ritter, if. <br />Governor <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />52.229.00 <br />P M _ 2.000 _ 014 - Harris D. Sherman <br />_ _ (Please reference the file number currently assigned to this operatiox)ecuhve Director <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />✓ <br />Ronald W. agar/ <br />Division Director <br />Conversion Application (Rule 1.11) <br />Natural Resource Trustee <br />Permit # M - 2000 014 - (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 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. Vdhen 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 1, appropriate sections of 6.5 (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" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />1. Applicant/operator or company name (name to be used on permit): Grand Gravel Pit, LLC <br />1.1 Type of organization (corporation, partnership, etc.): limited liability company <br />2. Operation name (pit, mine or site name): Yust Ranch Gravel Pit <br />3. Permitted acreage (new or eidstine site): <br />9'9 <br />permitted acres <br />3.1 Change in acreage ( +) <br />31.11 <br />acres <br />3.2 Total acreage in Permit area <br />41.01 <br />acres <br />4. Fees: <br />4.1 New Application <br />S 696.00 <br />application fee <br />4.2 New Quarry Application <br />53342.00 <br />quarry application <br />4.4 Amendment Fee <br />52.229.00 <br />amendment fee <br />4.5 Conversion to 112 operation (set by statute) <br />52.696.00 <br />conversion fee <br />5. Primary commoditle(s), to be mined: Sand Gravel <br />5.1 Incidental commodities) to be mined: 1. lbs/Tons/vr 2. <br />/ <br />lbs/Tons/vr <br />3. / lbs/Tons/vr 4. / Ib AolWw 5. <br />/ <br />ibsfI ors /yr <br />5.2 Anticipated end use of primary commodities) to be mined: construction materials <br />5.3 Anticipated end use of incidental commodities) to be mined: <br />Office of Office of <br />Mined land Reclamation Denver - Grand )unction - Durango Active and Inactive Mines <br />