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999 STATE O COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY h� <br /> Department of Natural Resources LI / /(i <br /> mopp, Z <br /> 1313 Sherman St., Room 215 E <br /> pUgL jc rAdL°�Fi�� <br /> Denver,Colorado 80203 <br /> Phone7(303)866-3567 ' <br /> FAX:(303)832.8106 �Ir bs��F copy <br /> ewe SJr�' Ro NATURAL <br /> R@C �D <br /> CONSTRUCTION MATERIALS )g(_f ��� �T RESOURCES <br /> +� REGULAR (112) OPERATION I"fi Roy Romer <br /> y RECLAMATION PERMIT APPLICATION FORM Governor <br /> F�81d �eo�o9y APR 0 6 1998 lames S.Lochhead <br /> C Execulrve Director <br /> a1 1 Vttgf Michael B.Long <br /> �l�,yan u Division of Minerals&Geology Division Director <br /> CHECK ONE: New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) <br /> Conversion Application (Rule 1.11) <br /> Permit # M - 87 _ 178 _ (provide for Amendments and Conversions of <br /> existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains <br /> three major parts: (1) the application form; (2) Exhibits A-S, Addendum 1, any sections of <br /> 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 four (4) <br /> copies of the completed Ivory application form, five (5) copies of Exhibits A-S, Addendum 1, <br /> appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee <br /> described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps <br /> should be folded to 6 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide <br /> 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) : <br /> Parkerson Construction, Inc. <br /> 1.1 Type of organization (corporation, partnership, etc.) : Corporation <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: 84•-0876512 <br /> 2. Operation name (pit, mine or site name) : 31 Road Gravel Pit <br /> 3. Permitted acreage (new or existing site) : 34.40 permitted acres <br /> 3.1 Change in acreage (+ or -) 52.43 acres <br /> 3.2 Total acreage in Permit area 86.83 acres <br /> 4. Fees: <br /> 4.1 New Application $1,875.00 application fee <br /> 4.2 New Quarry Application 52,325.00 quarry application <br /> 4.3 Milling Application (Non-DMO) $3,100.00 milling application <br /> 4.4 Amendment Fee $1,550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) $1,875.00 conversion fee <br /> S. Primary commoditi a s) to be mined. Gravel <br /> 5.1 Incidental commodities) to be mined: 1. Roadbase• 250 xhba/Tons/vr <br /> 2 Overburdery 250 11T�k/Tons/yr 3. / lbs/Tons/yr <br /> 4. / lbs/Tons/yr 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie s) to be mined: Highways / Street <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: Landscaping <br /> I <br />