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,y - .200e- oo I <br />STATE OF COLORADO <br />DIVISION Of RECIRMAnON, MINING AND SAFETY � <br />Dquoment of Natural Revurces "'� <br />1313 Sherman SL, Room 215 COLORADO <br />O e r r v f , C o l o r a d o 80203 L � _ � j D I V I S I O N OF <br />N�c (303) 866 -3567 CONSTRUCTION MATERIALS RECLAMATION <br />fAX t3o3) a32�t06 Div :c , icon MINING <br />REGULAR(112)OPERATION SAFETY <br />RECLAMATION PERMIT APPLICATION FORM •.'� . <br />sip Rldiri,lr <br />Covemor <br />MCK O) There b a File Number Already Assigned to this Operation Krrls D. acennar <br />Executive Director <br />Permit # M - (Please reference the file number currently assigned to this Qperafi9RLW W. cater <br />X New Applicat ion (Rule 1A.5) Amendment Application (Rule 1.10) Trustee <br />Conversion Application (Rule 1, l 1) <br />Permit # M - - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Pemtit contains 8utee major parts: (1) the application <br />form; (2) Exhibits A-S, Addendmn 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 (t) ropy of the completed <br />application farm, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geoteehnical Stability Exhibit; anda check for <br />tire application fee described under Section (4) Mow. Exhibits should NOT be bound or in a 3 -ring binder; neaps should be folded to <br />8 If2" X 11" or 8 112" 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, IBS information requested below. <br />1. &WIlcant/onerator or eomnang mum (mum o be used on nermdtt: Southwest Farms, Inc. <br />1.1 TyMoforganizadon (corgoradoApardaership,elc.): Corporation <br />2. Ooeratlen name (pit, mine or site name): <br />3. Permitted aer_eaee (new gr e&jLft dtel: <br />3.1 Change in acreage ( +) <br />3.2 Total acreage in Permit area <br />Blue Grass Gravel Pit <br />4. FAM: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Aniendmem Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. 1'> t,9 _ _ _ _ . _ . d lobe abed: Sand Gravel Fill <br />+/- 323.0 permitted acres <br />acres <br />+/ -323.0 acres <br />=69coo application fee <br />$1M2,40 2.40 quany application <br />SZM9.t10 amendment fee <br />IZASM conversion fee <br />5.1 Incidental conanctlitie(s) to be maned: I. - Ibslfont nF 2. t lb otoslvr <br />3. 1 lbs/fondw 4. ! lbs/fonslyr 5. t 1bs/TonsJvr <br />5.2 Anticipated end use of primary cormrtoditie(s) to be mined: Construction Material, Fill, Asphalt, Concrete <br />5.3 Anticipated end use of incidental commodities) to be mined: <br />Office of Office of <br />Mined Land Reclamation Deriver • Grand Iva ction • Duranv Active and Inactive Minas <br />