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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denm,Colorado 80203 C O L O R A D O <br /> Phone:f303)U6-3567 D t V I S t O N O P <br /> CONSTRUCTION MATERIALS RECLAMATION <br /> FAX:(303)832�106 MINING <br /> REGULAR(112)OPERATION —&--- <br /> RECLAMATION PER-MIT APPLICATION FORM SAFETY <br /> Bill Ritter.Jr. <br /> Cioversor <br /> CHECK ONE: There Is a File Number Already Assigned to this Operation Harris D.Sherman <br /> Executive Director <br /> Permit:1 %4 -_jj--8Q--224 (Please reference the file number currently assigned to this operati%Ld u,Cattany <br /> New Application(Rule 1.4.5) Y Amendment Application(Rule 1.10) Division D rector <br /> Natural Resource Tntsire <br /> Conversion Application(Rule 1.11) <br /> Permit tl _ M -1�- 8 0 -224 (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)eommlete 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 of 6.5(Geotechnical Stability Exhibit,and a check for <br /> the application fec described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder;naps should be folded to <br /> 8 1,2"X 11"or 8 0"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,AI.L information requested below. <br /> 1. Applicant/operator or company name(name to be used on permit): F r e m o n t P a v i n q & R e d i M i x , I n c. <br /> 1.1 Type of organization(corporation,partnership,etc.): corporation <br /> 2. Operation name(pit,mine or site name): MacKenzie P i t <br /> 3. Permitted acrenee fnew or e=isting site): 49, 3 permitted acres <br /> 3.1 Change in acreage(4-) 0 acres <br /> 3.2 Total acreage in Permit area 49. - acres <br /> 4. Fees: <br /> 4.1 New Application $2,696.00 application tce <br /> 4.2 New Quarry Application V 342.00 quarry application <br /> 4A Amendment Fee $2,_229.00 amendment fee <br /> 4.5 Conversion to 1.12 operation(set by statute) $z•ti%,O conversion fee <br /> 5. Primary commodities)to be mined:S-s3.IId._� _ aY!'j __._-----_- <br /> 5.1 Incidental commodities)to be rained: V lbs(Tor yr 2. .�_(_ __ 1bLTons/vr <br /> 3. IbsPfo,nslvr 4.---------=-.._.._.— )lose)onsJ+ 5•----- ._.�1bsTons/ r <br /> 5.2 Anticipated end use of primary conmroditie(s)to be mined: Construction .aggr e�cLa t e <br /> 5.3 Anticipated end use of incidental commoditic(s)to be trained: N/A _ -_-- <br /> Office of Office of <br /> Mined Land Reclamation Deriver - Grand)unction • Durango Active and Inactive Mines <br />