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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 D ILA D O <br /> Phone (303)866 3567 F I Y I S I O N O F <br /> FAX:(303)832 8106 RECLAMATION <br /> MINING <br /> SAFETY <br /> CONSTRi CTION NUTERUI S <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERINIIT APPLICATION FOR1I <br /> CHECK ONE:L1— There is a File Number Already Assigned to this Operation <br /> PTMU# ,I IS77 - 094 (Please reference <br /> -the <br /> �file number currently assigned to this operation) <br /> New Apphcation(Rule 1.4 5) I r/ Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.11) �---� <br /> Permit# M 1;377 - 094 (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 I.any sections of Exhibit 65(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 of6.5(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-rmg binder,maps should be folded to <br /> 8 1/2"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 clearh•,in the space prodded,ALL information requested below. <br /> L Applicantloperator or company name(name to be used on permit): Morgan Sand and Gravel, Inc. <br /> 1.1 Type of organuatron(corporation,pm nerslup.etc)_ Corporation <br /> 2. Operation name(pit,mine or site name)_ Westhoff Pit <br /> 3. Permitted acreage(new or existing site): 40.0 permitted acres <br /> 3.1 Change in acreage(+) +36.4 acres <br /> 3.2 Total acreage in Permit area +/-76A acres <br /> 4. Fees: <br /> 4.1 New Application S2.696.00 application fee <br /> 4.2 New Quarry Application $3342.00 quarry application <br /> 4.4 Amendment Fee S2.229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2.696.00 conversion fee <br /> 5. Primar v commodities)to be mined: Sand Gravel Base <br /> 5.1 Incidental commoditie(s)to be mined: 1. NA - lbsrlons/yr 2 / IbVTons/yr <br /> 3. 1 Ibs/Tons/yr 4. / lbs."ronsJyr 5. ! Ibs/Tons* <br /> 5.2 Anticipated end use of primary commodme(s)to be mined: Construction <br /> 5.3 Anticipated end use of incidental commoditre(s)to be mired: NA <br /> 7 <br />