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1 <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY i/��'' •^•. <br /> Department of Natural Resources 1 Y r- <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 , ) ;'; 7 r 45 COLORADO <br /> Phone:(303)866-3567 3�i DIVISION of <br /> FAX:(303)832-8106 RECLAMATION <br /> Colorado pivisl°rl°�«°Glamatlo�, <br /> MINING <br /> Nlining and Saftey SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CN-1 <br /> CHECK ONE:❑✓ There is a File Number Already Assigned to this Operation BFB/ZTT <br /> Permit# M29" Q17 - (Please reference the file number currently assigned to this operation <br /> E __ New Application(Rule 1.4.5) fl Amendment Application(Rule 1.10) <br /> ElApplication(Rule 1.11) <br /> Permit# M 20 11 017 - (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 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): CRC Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.): corporation <br /> 2. Operation name(pit,mine or site name): Yampa Valley Gravel Pit <br /> 3. Permitted acreage(new or existing site): 9.9 permitted acres <br /> 3.1 Change in acreage(+) 172.5 acres <br /> 3.2 Total acreage in Permit area 182.4 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 fee <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. - lbs/Tons/yr 2. / lbs/Tons/yr <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 materials <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: <br />