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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY �'� t�ap5 Sm <br /> Department of Natural Resources <br /> . <br /> Den Sherman St.,Room 215 RECEIVED <br /> Denver,Colorado 80203 COL GRAD O <br /> IVSION Of <br /> Phone:(303)866-3567 AM01. <br /> REC ILAMATION <br /> FAX:(303)832-8106 AUG 01 2019 MINING <br /> ACC SAFETY <br /> WSION OF RECLAMATION <br /> CONSTRUCTION MATERIALS MINING AND SAFETY <br /> REGULAR(112)OPERATION o 3 <br /> RECLAMATION PERMIT APPLICATION FORM o O G <br /> % —A <br /> CHECK ONE:0 There is a File Number Already Assigned to this Operation E a N <br /> Permit# M - - (Please reference the file number currently assigned to this operation) n a O <br /> Ul <br /> D—New Application(Rule 1.4.5) Amendment Application(Rule 1.10) O <br /> Conversion Application(Rule 1.11) U' <br /> Permit# M -2012- 050 - (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 o <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 n o D <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. 3 O O <br /> 3 c —� <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): Oldcastle SW Group dba United Companies of Mesa County <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site name): Otter Creek Pit <br /> 3. Permitted acreage(new or existing site): 89.2 permitted acres <br /> 3.1 Change in acreage(+) 5.8 acres <br /> 3.2 Total acreage in Permit area 95.0 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: Sand Gravel <br /> 5.1 Incidental commoditie(s)to be mined: 1. Fill - 25,000 lbs/Tons/yr 2. Topsoil /10,000 lbs/Tons/yr <br /> 3. / lbs/Tons/vr 4. / lbs/Tons/yr 5. / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Construction material,road base,make asphalt <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: <br />