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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 /> Denver,Colorado 80203 C O L O R A D O <br /> Phone (303)866-3567 RECLAMATION <br /> FAX (303)832-8106 MINING <br /> SL <br /> SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:Q� There Is a File Number Already Assigned to this Operation <br /> Permit# 212 __ (Please reference the file number currently assigned to this operation) <br /> New Application(Rule 1.4.5) a Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.11) <br /> Permit# M 1985 212 - (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) complete 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 fee described under Section(4)below. Exhibits should M be bound or in a 3-ring binder,maps should be folded to <br /> 8 1.2"X I I"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 /> I. Analicant/operator or comonnv name(name to be used on permit): ArkinS Park Stolle Corporation <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name foil.mine or site name): Arkins Perk Quarries <br /> 3. Permitted acreage(new or existing site): 177 permitted acres <br /> 3.1 Change in acreage(+) 15.4 acres <br /> 3.2 Total acreage in Permit area 192.4 acres <br /> 4. Fees: <br /> 4.1 New Application $2,696.00 application fee <br /> 4.2 New Quarry Application $3,342.00 quarry application <br /> 4.4 Amendment Fee $2,229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2.696.00 conversion fee <br /> 5. Primary commodide(s)to be mined: Sandstone Rip Rap <br /> 5.1 Incidental commodities)to be mined: 1. 3000 4000 lbs/I'ons/vr 2. 600 / 900 lbs/Ibnslvr <br /> 3. i lbs/Tons/ rr 4. 1 ILMTon�/, 5. / Ibs/fons/vr <br /> 5.2 Anticipated end use of primary commoditic(s)to be mined: Flag dimension Stone <br /> 5.3 Anticipated end use of incidental commodities)to be mined: Rip rap material -Various dimensions <br />