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C� <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room - <br />Denver, Colorado 80203 215 R t6VE® <br />U J-zGEl <br />Phone: (303) 866-3567 <br />v E� <br />FAX: (303) 832 -8106 I U 11 nn 1 <br />FF$ 2 6 2015 <br />DIVISION OF RECLAMATION `)Llrango Field price <br />MINING AN CONSTRUCTION MATERiA,4R aReclaMation <br />REGULAR (112) OPERATION Saf @ty <br />RECLAMATION PERMIT APPLICATION FORM <br />r <br />COLORADO <br />D IV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />CHECK ONE: Iv i There is a File Number Already Assigned to this Operation <br />Permit # M - 1983 148 (Please reference the file number currently assigned to this oper 0 6 2015 <br />r7 New Application (Rule 1.4.5) Amendment Application (Rule 1.10) . ion of Reclamation, <br />Conversion Application (Rule 1.11) Mining & Safety <br />Permit # M 1 -983 148 _ (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 />2. <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): Montrose County <br />1.1 Type of organization (corporation, partnership, etc.): county government <br />Operation name (pit, mine or site name): Neal Pit <br />Permitted acreage (new or existing site): <br />3.1 Change in acreage ( +) <br />3.2 Total acreage in Permit area <br />4. 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 commoditie(s) to be mined: 1442 <br />5.1 Incidental commoditie(s) to be mined: I. - Ibs /Tons /yr <br />39.4 permitted acres <br />27.5 acres <br />66.9 acres <br />$2,696.00 <br />application fee <br />$3,342.00 <br />quarry application <br />$2,229.00 <br />amendment fee <br />$2,696.00 <br />conversion fee <br />2. / lbs /Tons /yr <br />3. / Ibs /Tons /yr 4. / lbs /Tons /yr 5. / Ibs /Tons /vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: County Road COlnstruction <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A <br />V AF & Report <br />V Violations <br />MV1996015 3/28/1996 <br />