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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natbral Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />CHECK ONE: <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION JAN Z 2 xD 16 <br />RECLAMATION PERMIT APPLICATIMbeffaRECLAMATION <br />INNING AND SAFETY <br />There is a File Number Already Assigned to this Operation <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />— &— <br />SAFETY <br />Permit # M1399 Q58 -_ (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 1.11) <br />M 1999 Q58 - (provide for Amendm <br />Permit # <br />The application for a Construction Materials Regular 112 Operation R <br />form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geot <br />submit your application, be sure to include one (1) complete signed <br />application form, two (2) copies of Exhibits A -S, Addendum I, appropri. <br />the application fee described under Section (4) below. Exhibits should <br />CNO1 <br />/Complied! <br />✓2 Violations: MV2009-023 <br />& MV2009-024 <br />_...sa.... 4 i-nng binder; maps should be folded to <br />8 1/2" X 11" 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 requested below. <br />1. <br />Applicant/operator or company name (name to be used on permit): Colorado Stone Quarries Inc <br />1.1 Type of organization (corporation, partnership, etc.): Corp <br />2. Operation name (pit, mine or site name): <br />3. Permitted acreage (new or existine site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />The Pride or America Mine (previously Yule Quarry) <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 commoditie(s) to be mined: Marble <br />5.1 Incidental commoditie(s) to be mined: 1. <br />10.0 <br />+114.4 <br />124.1 <br />$2.696.00 <br />$3.342.00 <br />$2,229.00 <br />$2.696.00 <br />Ibs,Tons/vr 2. / <br />permitted acres <br />acres <br />acres <br />application fee <br />quarry application <br />amendment fee <br />conversion fee <br />lbs/Tons/yr <br />3. / lbs/Tons/yr 4. / Ibs/Ton$/yr 5. / lbs/Tons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Dimensional Stone <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />