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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> AM-3 <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 B F B/MAC C O L O R A D O <br /> Phone:(303)866-3567 CONSTRUCTION MATERIALS DIVISION OF <br /> RECLAMATION <br /> FAX:(303)832-8106 REGULAR(112)OPERATION MINING <br /> RECLAMATION PERMIT APPLICATION FORM _&&— <br /> SAFETY <br /> Bill Ritter,Jr. <br /> CHECK ONE: There is a File Number Already Assigned to this Operation Governor <br /> Harris D.Sherman <br /> Permit# M - - (Please reference the file number currently assigned to this operatios�ecutive Director <br /> FNew Application(Rule 1.4.5) FiL Amendment Application(Rule 1.10) Ronald W.Camny <br /> Division Director <br /> 17—Conversion Application(Rule 1.11) Natural Resource Trustee <br /> Permit# M -M _ 1976-056 (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) 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 <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/overator or company name(name to be used on permit): MCAtee Construction Company <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site name): Riverside Pit <br /> 3. Permitted acreage(new or existing site) ' ' 102.53 <br /> : permitted acres <br /> 3.1 Change in acreage(+) I �2 8.42 acres <br /> Y <br /> 3.2 Total acreage in Permit area "' ' 111.02 acres <br /> pl`JISION OF R�pLAh9ATION, <br /> 4. Fees: MINING SAFeTY•MINERALS <br /> 4.1 New Application $01696M application fee <br /> 4.2 New Quarry Application $59M 00 quarry application <br /> 4.4 Amendment Fee $2,229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $5096M conversion fee <br /> 5. Primary commoditie(s)to be mined: Gravel Sand Borrow soil <br /> 5.1 Incidental commoditie(s)to be mined: 1. NA - lbs/Tons/vr 2. / lbs/Tons/vr <br /> 3. / Ibs/Tons/vr 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Specification aggregates, fill <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: NA <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines <br />