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5TATE orOLORADCJ <br /> DIVISION Of MINERALS GEOLOGY <br /> Department of Natural Resources <br /> A14 <br /> 1313 Sherman St., Room 213 1�,�1 <br /> Denver,Colorado 80203 +<.o D t v t S t o N o <br /> Phone:(303)866-3567 CONSTRUCTION MATERIALS ���D M I N E R A L S <br /> FAX:(303)832-8106 REGULAR(112)OPERATION F��t' <br /> RECLAMATION PERMIT APPLICATI ,FQRM ,' �049? RE CLAM GEOLOGY o N <br /> or4y��efb`san��e% MINING-SAFETY <br /> Ar Bill Owens <br /> Governor <br /> CHECK ONE: There is a File Number Already Assigned to this Operation <br /> Greg E.Watcher <br /> Permit# M - _ (Please reference the file number currently assigned to this operation) Executive Director <br /> Michael B.Long <br /> New Application(Rule 1.4.5) X Amendment Application(Rule I.10) <br /> Division Director <br /> Conversion Application(Rule 1.I 1) <br /> Permit# M -1483- 208 - (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 form; <br /> (2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5 (Geotechnicai 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 four(4)copies of the completed Ivory <br /> application form,five(5)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 I V or 8 1/2"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 provided,all information described below. <br /> 1. Avniicant/onerator or comvanv name frame to be used on permit): <br /> MONTROSE COUNTY <br /> 1.1 Type of organization(corporation,partnership,etc.): governmental entity <br /> 1.2 I.R.S.Tax I.D.No.or Social Security Number N/A <br /> 2. Operation name(pit,mine or site name): SHAVANO G ZAVEL P I T <br /> 3- Permitted acreage(new or existing site): 18.46 permitted acres <br /> 3.1 Change in acreage(+) 30. 165 acres <br /> 3.2 Total acreage in Permit area 49 a'T11 acres <br /> 4. Fees: <br /> 4.1 New Application $2.344.,00 application fee <br /> 4.2 New Quarry Application $2.906.00 quarry application <br /> 4.4 Amendment Fee * 1.938.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2,344.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: SAND & GRAVEL <br /> 5.1 Incidental commoditie(s)to be mined: 1. / lbs/Tons/yr 2. / lbs/Tonsi r 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: ROCK AGGREGAIF <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: RQCK R I P RAP <br />