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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 />DO 1 O N DOenColordo3 V-1980-146 o <br />Phone:()866-3587COMPLIED!RECLAMATION <br />FAX: (303) <br />NO VIOLATIONS MINING <br />MAY 182018 SA EF TY <br />fle, whe <br />v.uf4s't RUCTION MATERIALS DMSION of RECLAMATION <br />REGULAR (112) OPERATION MINING AND SAFETY <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: I� There is a File Number Already Assigned to this Operation <br />Permit # MIJO t46 (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Mule 1.11) <br />Permit # M 1980 1.46 (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) comalete sinned 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 />8 112" X 11" or 8 I/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 />I information requested below. <br />Type or print clearly, in the space provided, AL <br />1. Avolicant/operator <br />or comeanv n&m1 tngme to be used on permit): CW Gravel Products, Inc. <br />1.1 <br />Type of organization (corporation, partnership, etc.): Corporation <br />2. Qimrlgnatame <br />(pit, mine or site name): Montoya Pit <br />3. PeaBliled <br />acreage (new or existing site): 100.8 <br />permitted acres <br />3.1 <br />Change in acreage (+) No change in permitted acres; 0.0 <br />acres <br />3.2 <br />Total acreage in Permit area increase in affected land acreage only. 100.8 <br />acres <br />4. Fees: <br />4.1 <br />New Application _52.696.00 <br />application fee <br />4.2 <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) S2.696.Q0 <br />conversion fee <br />5. PrIMEX <br />c mm itis) Jo be mined sand gravel <br />5.1 <br />Incidental commoditie(s) to be mined: 1. earth 100KIbs/ I ons/ rr 2. / <br />lbs/Tons/yr <br />3. / lb&Tons/Xr 4. / lbs/Pons/yr 5. / <br />lb ns/ r <br />5.2 <br />Anticipated end use ofprimary commoditie(s) to be mined: Construction materials <br />5.3 <br />Anticipated end use of incidental eommoditie(s) to be mined: Construction projects <br />