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`t STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />COLORADO <br />Phone: (303) 866-3567 CONSTRUCTION MATERIALS <br />V I S I O N O <br />RECLAMATION <br />FAX: (303) 832 -8106 REGULAR (112) OPERATION <br />MINING <br />RECLAMATION PERMIT APPLICATION FORM <br />SAFETY <br />Bill Ritter, Jr. <br />CHECK ONE: ✓ There is a File Number Already Assigned to this Operation <br />Governor <br />Harris D. Sherman <br />Permit # M - - -_ (Please reference the file number currently assigned to this operatiol0ecutive Director <br />r—� <br />_ New Application (Rule 1.4.5)_ Amendment Application (Rule 1.10) <br />Ronald W. Cattany <br />_ Conversion Application (Rule 1.11) r <br />Division Director <br />Natural Resource Trustee <br />1/ Permit # M - 1977- 522 - (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. 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 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 />1 <br />7 <br />3 <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />Applicant/operator or company name (name to be used on permit): L.G. Eyerist, Incorporated <br />1.1 Type of organization (corporation, partnership, etc.): _ Corporation <br />Operation name (pit, mine or site name): Star Water Resource <br />Permitted acreage (new or existing site): <br />3.1 Change in acreage ( +) <br />3.2 Total acreage in Permit area <br />75.0 permitted acres <br />15.63 acres <br />90.63 acres <br />4. Fees: <br />4.1 New Application $0.9018. application fee <br />4.2 New Quarry Application $U4UR quarry application <br />4.4 Amendment Fee $2,229.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $106M conversion fee <br />5. Primary commoditie(s) to be mined: Gravel Sand <br />5.1 Incidental commoditie(s) to be mined: I. - Ibs/Tonslyr 2. / Ibs/Tons /yr <br />3. / Ibs/Tons /yr 4. / lbs /Tons /vr 5. / lbs /Tons /yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Specification aggregates, fill <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of <br />Office of <br />Mined Land R >e�lam�a-ttioonn- Denver • Grand Junction • Durango Active and Inactive Mines <br />LAI (f *( ClC d - r2y-� +(A�g f ( (qq-P4 - <br />