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s <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 jk� <br /> Denver,Colorado 80203 C O L O R A D O <br /> Phone (303)866-3567 p 1 v 1 S 1 0 N O F <br /> FAX.(303)832-8106 RECLAMATION <br /> MINING <br /> SAFETY <br /> CONSTRUCTION MATERIALS RECEIVED <br /> REGULAR(I 12)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> n OCT ?_ 9 2021 <br /> CHECK ONE:I There is a File Number Already Assigned to this Operation <br /> Permit# M,:P'Z-' la k0 (Please reference the file number currently assigned to this ocCOP�Rao1qnng and Safety Division of Reda=0011, <br /> � dii <br /> New Application(Rule 1.4.5) FT_Amendment Application (Rule L I0) <br /> Conversion Application(Rule 1.I I) <br /> Permit# M - - - (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 I,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 (I) complete signed and notarized ORIGINAL and one (I) 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 I I"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): C&J Gravel Products, Inc. <br /> 1.1 Type of organization(corporation, partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site name): OAKBRUSH HILL GRAVEL (at Dutton Ranch) <br /> 3. Permitted acreaEe(new or existing!site): 163.2 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area acres <br /> 4. Fees: <br /> 4.1 New Application 2 696w00 application fee <br /> 4. New Quarry Application $3,342.60 quarry application <br /> 4.4 Amendment Fee $2,229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $�696_00_ conversion fee <br /> 5. Primary commoditie(s)to be mined: Gravel Sand Aggregate <br /> 5.1 Incidental commoditie(s)to be mined: I. - Ibs/Tons/yr 2 _ / Ibs/Tons/vr <br /> Ibs/Tons/yr 4. _ / ____ Ibs/Tons/vr 5. Ibs/Tons <br /> 5.2 Anticipated end use ofprimary commoditie(s)to be mined- Construction Materials <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: �� <br />