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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 />FPhone (303)866-3567 20 nual Report Past Due(3/22)!RECLAMATION <br />FAX (303)832-8106 1 Violations MV-1991-032 MINING <br />ECS, WHE SAFETY <br />CONSTRUCTION MATERIALS RECEIVED <br />REGULAR(112)OPERATION <br />RECLAMATION PERMIT APPLICATION FORM OCT 3 0 2017 <br />CHECK ONE:Z There is a File Number Already Assigned to this Operation DIVIS IyyO NNNOF RECLAMATION <br />Permiti.985 fileQosPleasereferencethe number currently assigned to this operation) <br />MAND SAFETY <br />New Application(Rule 1.4.5) n Amendment Application(Rule 1.10) <br />EConversion Application(Rule 1.11) <br />Permit# M 1.985 Q08 _ (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 NOT be bound or in a 3-ring 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. Applicant/operator or company name(name to be used on permit): Hard Rock Paving and Redi Mix, Inc. <br />1.1 Type of organization(corporation,partnership,etc.): Corporation <br />2. Operation name(pit,mine or site name): Leone Gardner <br />3. Permitted acreage(new or existing site): 9.95 permitted acres <br />3.1 Change in acreage(+) 44.48 acres <br />3.2 Total acreage in Permit area 54.43 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 commoditie(s)to be mined: <br />Gravel Aggregates <br />5.1 Incidental commoditie(s)to be mined: 1. lbs/Tons/yr 2. lbs/Tons/vr <br />3. lbs/Tons/yr 4. lbs/Tons/yr 5. lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s)to be mined: <br />Construction Materials <br />5.3 Anticipated end use of incidental commoditie(s)to be mined: