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STATE OF COLORADO <br />VISION OF RECLAMATION, MINING AND SAFETY <br />Npartment of Natural Resources <br />1313 Sherman St., Room 215 A� COLORADO <br />enver, Colorado 80203 ]# o I v r s i a H OF <br />.hone: (303) 86s-35ti7 �O RECLAMATION <br />FAX. (303) 832-8106 MV MINING <br />J 3 V't 7 a�985-019 & <br />1984-02 SAFETY <br />19c)Q-fl 19 <br />CO STRUMON MATS.—.w <br />REGULAR (112) OPERATION RECEIVED <br />RECLAMATION PERMIT APPLICATION FORM <br />NOV 18 2016 <br />CHECK ONETJ J There is a File Number Already Assigned to this Operation <br />Permit # M - DIVISION OF RECLAMATION <br />(Please reference the file number currently assigned to this oopq "X SAFETY <br />New Application (Rule 1.4.5) Imo'— Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.1 l) <br />Permit # M 1977 205 -_ _ __ _, (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 (l) complete signednotarized 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 NOT be bound or in a 3 -ring binder; maps should be folded to <br />8 112" X I I" or 8 112" 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 />L Applicant/uncrator <br />or company name (name to be used on permit): Oldcastle SW Group, Inc. dba United Companies <br />1.1 <br />Type of organization (corporation, partnership, etc.): _ Corporation <br />2. Operation <br />name (nit, mine or site name): Tti County <br />3. Permitted <br />acreage (now or existine site): 109.93 <br />permitted acres <br />3.1 <br />Change in acreage (+) 82.17 <br />acres <br />3.2 <br />Total acreage in Permit area 192.1 <br />acres <br />4. Fomes: <br />4.1 <br />New Application $2.696.00 <br />application Fee <br />421 <br />New Quarry Application $3,342.00 <br />quarry application <br />4.4 <br />Amendment Fee $2.229.00, <br />amendment fee <br />4.5 <br />Conversion to 112 operation (set by statute) $2.696,00 <br />conversion fee <br />5. Primary commoditie(s) to be mined: sand gravel <br />5.1 <br />Incidental commoditie(s) to be mined: I. 0 - lbs/Tons/yr 2. 0 / <br />lbs/Tons/vr <br />3. 0 / lbs/Tons/yr 4. 0 1 lbs/Tons. yr 5. 0 <br />lbs/Tons/yr <br />5.2 <br />Anticipated end use of primary commoditie(s) to be mined: Construction material products <br />5.3 <br />Anticipated end use of incidental conunoditie(s) to be mined: NIA <br />