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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY M/J <br />Department of Natural Resources �Ji'/ / <br />1313 Sherman St., Room 215 �� t� r s COLORADO J-M <br />Denver, Colorado e0203 CONSTRUCTION MATERIALS c�*�V ,""y SION o g <br />Phone-. (303) 6663567 AMATION <br />FAX: (303) 632.8106 REGULAR (112) OPERATION IN ING <br />RECLAMATION PERMIT APPLICATION FORM AFETY <br />elu Ritte r, )r. <br />CHECK ONE: There is a File Number Already Assigned to this Operation DO1emQr <br />1.979 131 Harris D. Sherman <br />P M _ (Please reference the file number currently assigned to this operatiox)ecutive Director <br />New Application (Rule 1.4.5) [7,00' Amendment Application (Rule 1.10) Romw W Cattar1' <br />Division Dhem <br />Conversion Application (Rule 1.11) Nawral Reso= Trumee <br />Permit # M -1979 131 (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 ORIGIN AL 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 81/2" 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 provider!, A_U information requested below. <br />Korinek Sand and Gravel <br />1.1 Type of organization (corporation, partnership, etc.): <br />2. Overation name (nit, mine or site name): Korinek #1 Pit <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage ( +) RECEIVED <br />3.2 Total acreage in Permit area SEP 7 " 2009 <br />4. Fees: Division o, latien, <br />4.1 New Application Minin0 Gn :' <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditle(s) to be mined: sand gravel <br />5.1 incidental commodities) to be mined: 1. lbs/Tons/vr <br />8.5 permitted acres <br />36.7 acres <br />45.2 acres <br />$2.696.00 application fee <br />l_ application <br />5212900 amendment amendd ment fee <br />52.696.00 conversion fee <br />2. 1 lbs/Tons/vr <br />3. / lbs/Tons/vr 4. / lbs/Tons/vr 5. / IbstTons/vr <br />5.2 Anticipated end use of primary commodities) to be mined: road base for construction <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of <br />Mined land Reclamation Denver • Grand )unction • Durango Active and Inactive Mines <br />