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m - a vc~ - ~$~--- <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY / <br />Department of Natural Resources ~N,•r/ RE~E~1/ED ~~ <br />1313 Sherman 51., Room 215 ~ /A~/ DEC 2 V C O L O R A D O <br />Denver, Colorado 80203 J n I V 1 5 1 O N O F <br />Phone: (303)8663567 / CONSTRUCTION MATERIAL ~- - T~~s RECLAMATION <br />FAX: (303) 832-8106 ~ REGUT.AR I I2 OPEItAT[O,Y~tvM n n of Re~amation, M 1 N ! NG <br />( ) 9 and Saf®ty SAFETY <br />RECLAMATION PERMIT APPLICATION FORM <br />sill Owens <br />Governor <br />CHECK ONE: There is a File Number Already Assigned to this Operation Russell r;mr~ <br />Permit # M -_ _ - (Please reference the file number cltrrently assigned to this opera~Sffj"1e Orreitor <br />x Ronald W. Camany <br />^_ New Application (Rule 1.4,5) _ Amendment Application (Rule 1.10) oivislon DinYmr <br />_ Conversion Application (Rule I. t 1) Natural Resource Trustee <br />Permit # M - Z~0 -~H¢ -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Consnvction Materials Regulaz 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 (GeotechnicaV Stability Exhibit; and (3) the application fee. When you <br />submit yolrr application, be sure to include one (1) complete sued and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendtun I, appropriate sections of 6.5 (Geotechnical Stability Exhibi4 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 l/2" X 14" size. To expedite processing, please provide the information m the format and order described in this Form <br />GENERAL OPERATION INF'ORMATiON <br />Type or print clearly, in the space provided, 4,~1 information requested below. <br />I. Aoolieant/ooerator or comnanv name (name to be used on cermi~Connell Resources, Ina ~- <br />L I Type of organization (corporation, partnership, etc.): <br />2. Operation name (pit, mine or site name): White River City Pit <br />3. Permitted acreaae (new or eaistine site): <br />3.l Change in acreage (+) <br />3.2 Total acreage in Pemut area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Prlmarv commodities] to be mined: Sand Gravel <br />5.1 Incidental cornrnoditie(s)to be mined: I. - _ lbslfonslvr <br />3. / IbslCons/vr 4. / Ibs/Tons/vr <br />92.74 "permitted acres <br />0 acres <br />92.74 acres <br />y? 44 00 a~ liratinn fen <br />$2,906.00 quarry application <br />$1.938.00 amendment fee <br />$2.344.00 com~ersion fee <br />2. ! IbslTonslvr <br />5. / Ibs/fons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ASPhalt, concrete, road base and other Cavil construction materials <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office nt <br />Mined Land Reclamation _ Active and Inactive Mines <br />