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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 C O L O R ADO <br />Phone: (303) 666.3567 CONSTRUCTION MATERIALS D I V I S I O N Of <br />RECLAMATION <br />FAX: (303) 832 -8106 REGULAR (112) OPERATION MINING <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />Bill Ritter. Jr <br />CHECK ONE: Z There is a File Number Already Assigned to this Operation C01ernor <br />2,007 025 Hans D. Sherman <br />P M _- -T (Please reference the file number currently assigned to this operatioa>tecuwe Director <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald W. CaftarW <br />Division T[ Conversion Application (Rule 1.11) Natural DResource Trustee <br />Permit # M - 2007. 025 _ (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 acheck 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 i l" 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. ADplicant/operstor or company name (name to be used on permit): Delta County <br />1.1 Type of organization (corporation, partnership, etc.): Government <br />2. Operation name (pit, mine or site name): Whiting Pit T_ <br />3. Permitted acreage (new or existing site): 115.0 permitted acres <br />3.1 Change in acreage ( +) 0.17 acres <br />3.2 Total acreage in Permit area 115.17 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. Prima!1cQmmoditie(s) to be mined: Gravel Sand <br />5.1 <br />Incidental commoditie(s) to be mined: 1. <br />Ibs/Tons/vr 2. i <br />lbs/Tons/yr <br />3. 1 lbs/Tot>sfyr 4. / <br />lbs/Tons/yr 5. / <br />lbs/Tons/vr <br />5.2 <br />Anticipated end use of primary comrnoditie(s) to be trained: <br />Road construction aggregate <br />5.3 <br />Anticipated end use of incidental commoditie(s) to be mined: <br />Office of <br />Mined Land Reclamation <br />� AF & Report <br />of No Violations <br />Denver • Grand Junction • Durango <br />Office of <br />Active and Inactive Mines <br />