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STATE OF COLORADO <br />DIVISION Of MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 C 8 p��p /� <br />Denver, Colorado 80203 fl <br />Phone: (303) 866-3567 <br />FAX: (303) 632-8106 � 2002 <br />ILE COPY <br />_ OR d� CONSTRUCTION MATER 4" n NOV1' n <br />Nd ion o1 Minerals and Geology <br />REGULAR (112) OPERATION <br />RECLAMATION PTRMIT APPLICATIOI FORM <br />CHECK ONE. ;here is a File Number A.Lreadv Assigned to this Operation <br />Permit # M -- I (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.1 l ) <br />Permit # M _- - - (provide for Amendments and Conversions of existing permits) <br />D[ V (S I O N OF <br />MINERALS <br />Si <br />GEOLOGY <br />RECLAMATION <br />MIN)NG-SAFETY <br />Bill Owens <br />Governor <br />Greg E. Walcher <br />Executive Director <br />Ronald W. Cattany <br />Acting Division Director <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete signed and notarized IVORY ORIGINAL and one (1) copy of the completed h%� application <br />form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application <br />fee described under Section (4) below. Exhibits should NOT be bound or in a 3 -ring binder; maps should be folded to 8 1/2" X 11 " or 8 1/2" <br />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. Applicant/operator or company name (name to be used on permit): 0i )CASTE .5to 6dp0r. )NC.: SRA V fJ R6 -t <br />1.1 Type of organization (corporation, partnership, etc): t"1DR PE&A DID COMPANIES OF <br />1.2 I.RS. Tax I.D. No. or Social Security Number: '9q - ©44 9536 eboAm <br />2. Operation name (pit mine or site namel: 15 AQA NY-- <br />3. 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 commodities) to be mined: SA Q b ? G RA UEL. <br />5.1 Incidental commodities) to be mined: 1. - Ibs/Tons/yr <br />199,54 permitted acres <br />acres <br />acres <br />$2,344.00 <br />application fee <br />$2.906.00 <br />quarry application <br />$1,938.00 <br />amendmentfee <br />$2,344.00 <br />conversion fee <br />2. 1 lbs/Tons/vr <br />3. / lbs/T4. / lbs/Tons/yr 5. / lbs/Tons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: R12AD BASE ! wpcm-m- kSPiA t- <br />5.3 Anticipated end use of incidental commodities) to be muted: <br />