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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 />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 />U I V I s 1011 or <br />RECLAMATION <br />MINING <br />SAFETY <br />Permit it M _ (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) El— Amendment Application (Rule 1.10) <br />❑ _ Conversion Application (Rule 1.1 l ) <br />Permit # M - - - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 1 l2 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotectinical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete sinned and notarized ORIGINAL and one (I) copy of the completed <br />application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geoteclinical 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 />R 1/2" X 11" or 8 1 /2" X 14" size. To expedite processing, please provide the information in the fonnat and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />Applicant /operator or coulpany 111nic (name to be used on permit): White River City Investments <br />1.1 Type of organization (corporation, partnership, etc.): - Corporation <br />2. Operation name (pit, mine or site name): WRC Wet Pit <br />3. Permitted acreage (new or existine site): <br />50.80 <br />permitted acres <br />3.1 <br />Change in acreage (v) <br />acres <br />3.2 <br />Total acreage in Permit area <br />acres <br />4. Fees: <br />4.1 <br />New Application <br />$2,696.00 <br />application fee <br />4.2 <br />New Quarry Application <br />$3,342.00 <br />quarry application <br />4.4 <br />Amendment Fee <br />$2,229.00 <br />amendment fee <br />4.5 <br />Conversion to 112 operation (set by statute) <br />$2,696.00 <br />conversion fee <br />5. Primary comnioditie(s) to be mined: Gravel <br />5.1 Incidental commodrtie(s) to be mined: 1. Topsoil 125,000l f. 2 / Ibs/I'ons/vr <br />3. _ - - - - -- - -- / - -- _lbA/Ton 4. / lbsiTons'yr 5. / Ibs/Tonswr <br />5.2 Anticipated end use of primary cone moditie(s) to be mined: Road Base <br />5.3 Anticipated end use of incidental corn moditie(s) to be mined: Topsoil _ _ <br />