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(y <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 />STATE OF COLORADO <br />RECEIVED <br />MAR U 5 2014 <br />DIVISION OF ;RECLAMATION <br />MINING AND SAFETY <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: Q✓ _ There is a File Number Already Assigned to this Operation <br />COLORADO <br />D 1% 1 5 1 n N D F <br />RECLAMATION <br />MINING <br />SAFETY <br />L Permit # M 19_92 016 (Please reference the file number currently assigned to this operation) <br />FNew Application (Rule 1.4.5) Amendment Application (Rule 110) <br />E— Conversion Application (Rule 1.11) <br />Permit # M 1-9 92 Q16 (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (I ) 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 ofExhibits 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 1 1 " 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 />Amlicant/operator or company name (name to be used on permit): ,_ Rocky Mountain Materials & Asphalt, Inc. <br />I.1 Type of organization (corporation, partnership, etc.): _COr(3oration <br />2. Operation name (pit, mine or site name): - Penrose Ranch's <br />3. Permitted acreage (new or existine site): <br />3.1 Change in acreage ( -) <br />3.2 Total acreage in Permit area <br />.1. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commodities) to be mined: sand gravel <br />5.1 Incidental commoditie(s) to be mined: 1. lbs. Tons' r <br />2496 permitted acres <br />0 acres <br />2496 acres <br />$2,696.00 application fee <br />$3,342.00 quarry application <br />$2,229.00 amendment fee <br />$2,696.00 conversion fee <br />2. 1 ----J1bs s Tons'y_r <br />3. ,__ - - -� -t -- _ -- Ibs"Tons'yr 4. :'._ _.__. .. l_bs' ons yr 5. __. -. - - -� _��--- Ibs- 'Tons�r <br />5.2 Anticipated end use of primary commodities) to be mined: asphalt, concrete, landscape & construction aggregates <br />53 Anticipated end use of incidental commodities) to be mined: <br />+ <br />