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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> RECEIVED <br /> Department Department of Natural Resources Y <br /> 1313 Sherman St.,Room 215O. <br /> Denver,Colorado 80203 ���� 1 . AMG/JLE <br /> COLORADO <br /> DIVISION OF <br /> Phone:(303)866-3567 RECLAMATION <br /> 6i <br /> FAX:(303)832-8106 P 08 of Redamatior MINING <br /> 00400 mid Safety <br /> SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM RECEIVED <br /> CHECK ONE: There is a File Number Already Assigned to this OperationAtiIx t.1 3 2024 <br /> Permit# M - (Please reference the file number currently assigned to this operatiijn) <br /> amaiion, <br /> 1151 New Application(Rule 1.4.5) D Amendment Application(Rule 1.luafad°Divisionnd SAW <br /> DConversion Application(Rule 1.11) mining <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:(I)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 11"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): P B&S Gravel LLC <br /> 1.1 Type of organization(corporation,partnership,etc.): LLC <br /> 2. Operation name(pit,mine or site name): Ghost River Gravel Pit <br /> 3. Permitted acreage(new or existing site): permitted acres <br /> 3.1 Change in acreage(') acres <br /> 3.2 Total acreage in Permit area 21.6 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 tee <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. NA - lbs/"Cons/yr 2. / Ins/Tons/NT <br /> 3. / lbs/Tons/yr 4. / lbs/Tons/yr 5. / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Construction Aggregate <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: NA <br />