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STATE, CIF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SJ <br /> Department of Natural Resources "o <br /> 1313 Sherman St.,Room 215 JpVmae � COL O RA D O <br /> Denver,Colorado 80203 D I V I S I O N O F <br /> Phone:(303)866-3567 Cv.�J i nv� i ivi� iviti i rCIAI.S RECLAMATION <br /> FAX:(303)832-8106 REGULAR(112)OPERATION a 2�� MINING <br /> RECLAMATION PERMIT APPLICATION FORMfjtP 2 i SAFETY <br /> p>r RE gp�� <br /> 0 �D Bill Ritter,Jr. <br /> CHECK ONE: ✓ There is a File Number Already Assigned to this Operation N� Governor <br /> Harris D.Sherman ;n <br /> Permit# M - - _ (Please reference the file number currently assigned to this operation;ecutive Director 3 , <br /> New Application(Rule 1.4.5) ✓ Amendment Application(Rule 1.10) Ronald W.Cattany o <br /> Division Director 5 ._ -I <br /> Conversion Application(Rule 1.11) Natural Resource Trusl d <br /> 0 N <br /> Permit# M - 1978- 283 - , (provide for Amendmenrs and Conversions of existing permits) N W <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the applicati, <br /> form;(2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5(Geotechnical Stability Exhibit;and(3)the application fee. When y( <br /> submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the complett <br /> application form,two(2)copies of Exhibits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check f <br /> the application fee described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should be folded <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 fon <br /> GENERAL OPERATION INFORMATION o <br /> Type or print clearly,in the space provided,ALL information requested below. v o ID <br /> 9 7c <br /> Co <br /> 1. Applicant/operator or company name(name to be used on permit): The Walsenburg Sand and Gravel Company N' N <br /> 1.1 Type of organization(corporation,partnership,etc.): __ Corporation <br /> 2. Operation name(pit,mine or site name): Sand Arroyo Pit <br /> 3. Permitted acrea>_e(new or existing site): 67.65 permitted acres <br /> 3.1 Change in acreage(-) 15.65 acres <br /> 3.2 Total acreage in Permit area 52.00 acres <br /> 4. Fees: <br /> 4.1 New Application $106AS application fee <br /> 4.2 New Quarry Application $MAU R quarry application <br /> 4.4 Amendment Fee $2,229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $1)6415M conversion fee <br /> 5. Primary commoditie(s)to be mined: Sand -6" Rock Borrow <br /> 5.1 Incidental commoditie(s)to be mined: 1. - lbs/Tons/yr 2. / lbs/Tons/yr <br /> 3. / lbs/Tons/yr 4. / lbs/Tons/vr 5. / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Costruction materials and fill <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />