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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />M „ sq (' r _ 00-7 <br />!� ( L t <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />COLORADO <br />D I V I S I O N o f <br />Phone: (303) 888 -3587 <br />RE <br />RECLAMATION <br />FAX: (303) 832 -8106 <br />-- <br />SAFETY <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />RECD 11 "'F D <br />CHECK ONE: E— There is a File Number Already Assigned to this Operation FF L- <br />P it # M (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule I OF RECLAMATM <br />ps <br />Conversion Application (Rule 1.11) A ANDSAFETt( <br />Permit # Div _ - - (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 (I) 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 of6.5 (Geotechnical Stability Exhibit, and a checkfor <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 I /2" X I I" or 8 I/2" X I4" 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. Appl cant/oyerator or company name, (name to be used on permit): Rocky Mountain Aggregate and Construction, LLC <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pits mine or site name): Uncompahgre Pit <br />3. Permitted acreage (new or gx[sting sit : c CEIVED 247.76 permitted acres <br />3.1 , Change in acreage ( +) L . G acres <br />3.2 Total acreage in Permit area r o 12 2013 247.76 acres <br />4. Fee : <br />4.1 New Application D IViSICN OF REOLAMATIGN $2,696.00 application fee <br />4.2 New Quarry Application MININGARO SgETY $3.342.00 quarry application <br />4.4 Amendment Fee , ' ,mil G) ~ill $2,229.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute)' $2,696.00 conversion fee <br />5. Primary commoditie(s) to be mined: Sand Grave! p. <br />5.1 incidental comrnoditie(s) to be mined: 1. Fill 21"%s/Tons/vr 2, Topsoil 10000Ibs/Tong /yr <br />3. 1 Ibs/Tons /yr. 4. / lbs/Tons/yr 5. / Ibs/Tons/vr <br />52 Anticipated end use of primary commodities) to be mined: Construction materials, road base, make asphalt/concrete <br />Road base, read surfaces, concrete needs <br />5.3 Anticipated end use of incidental commodities) to be mined: <br />