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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 She•man St.,Room 215 <br /> Denver,Colorado 802t:3 t <br /> O R A D O <br /> 038 S 1 0 N O F <br /> Phone:(303)866-356r AMATION <br /> FAX:(303)832-8106 M2020 <br /> — <br /> ACQYIthm(awa) SAFETY <br /> CONST11t1(71ON NIA'[ERIAI S RECEIVED <br /> 1.11MITED IMPACT O 10)OPER%TION <br /> RLC LANIATION PERNIIT APPLICA1 ION DORM JUL 2 9 NZO <br /> Cl II:C h ON`E: ['here is a File Number Already Ass 1DNISION OF RECLAMATIONigned to this Operation MINING&SAFETY <br /> Perrnit 9 M -2007- 005- _ (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(Rule 1.1 1) <br /> Permit II M - 2007-005 (provide.for Amendments and Conversions ofexisting permits) <br /> The application for a Construction Materials Limited Impact (1 10) Operation Reclamation Permit contains three maior parts: (1) the <br /> application form;(2)Exhibits A-J,Exhibit L,Addendum I,any sections of l-xhibit 6.5 and Geotechnical Stability Fxhibit,as required by <br /> the Office,and outlined in Rules 6.1,6 2,6.3,6.5,and 1.6.2(1)(b);and(3)the application tee. When you submityour application,be sure <br /> to inchlde one (I)complete signed and notarized ORIGINA], Ind One(1)cop) Of the completed application form, Iwo(2) copies of <br /> Exhibits A-J, Exhibit I.,Addendum 1,and appropriate sections of6.5 (Geotechnical Stability Fxhibit).as required,and a check for the <br /> application fee described under(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should be 1blded to 8 1 2"A I I"or 8 <br /> 1/2" \ 14"sire. To expedite processing,please provide the information in the format and order described in(his form. <br /> GENT LRAL OPERATION INFORMATION <br /> Type or print clearly,in the space pro%ided, AI.I, information described below. <br /> I. Atlplicanit/oncrartor or compasly name(narne to be used on permit): City of Grand Junction <br /> I.1 type of organization(curporalion,partnership.etc.): Riverside Parkway <br /> 2. Operation name(I)il,mine or site name): Riverside Parkway <br /> 3 Permitted acreage(new or existing site): __. permitted acres <br /> 3.1 Change in acreage(I) acre~ <br /> 3.2 1 oral Acreage in Permit Area 7.6 acres <br /> .1. Fecs: <br /> 4.1 New Application: $1258.00 application fee <br /> Amendment I ee(C.R.S.34-32.5-125(II)): $827.00 application fee <br /> 5. Primary commoditic(s)to be mined: NIA <br /> 5.1 Incidental commoditie(s)to be mined: 1. / 1hsaons/vr 2. / Ibs1lons/yr 3. 1 ibs/Tons/yr <br /> 4. / Ibs/l'onslvr 5. lbs Tons Nr <br /> 5.2 Anticipated end use of primary conmioditic(s)to he mined: <br /> Anticipated end use of incidenlal commodities)to be mined: <br />