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TATE OF COLOI~DO <br />DIVISION OF b11NERALS AND GEOLOGY <br />Drp.vhnrnl iL N.IRU,I HNiuUrCei <br />I f l 1 5harlndn $t, Rnom ~ I7 <br />Denver, 1_~Iluradu :fOLU} A D I V I S I O N O F <br />Phone. IiU 11 :11,6~1in7 ~/1~ M [ N E RA L S <br />r.~x. Isn;l n 1 ~-IS I oe l~~ & <br />~~ a d6'D ' O/o ~ ~.. ~'1qy ~~~`~ G E O L O G Y <br />CONSTRUCTION MATERIALS ~ro7pf ~J~20 RECLA,7ArION <br />00 ~MININ G'SA FE iY <br />RECLA~~L T ON PERMITOPPLICAO ON FORV1 ~~~/S~G~~ cuVon~', <br />rreq E. Wal<her <br />Exe<mive Direaar <br />~~IChael 8. Lone <br />CHECK ONE: ~`~ Yew Application (Rule L4S) _ Amendment Application (Rule I.IOb,, s,o~ D~recmr <br />Conversion Application (Rule I.l I) <br />Permit ~ ht -_ -, (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Mazerials Regular l 12 Operation Reclamation Permit contains three major pare: (I) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections ofExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete sieved and notarized IVORY ORIGINAL and four (4) copies of the completed Ivory <br />application form, five (5) copies of Exhibirs 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 I/2" X 1 I" or 8 lR" 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, io the space provided, ALL information requested below. <br />ApplicanVooeratororcompanvname(nametobeusedoooermitl:Beavers Construction/High Mesa Gravel, <br />1.1 Type of organization (corporation, partnership, etc J: Cornoratinn i <br />1.2 LR.S. Tax LD. No. or Social Security Number: <br />2. Operationname(oit,mineorsitenamel: High Mesa Gravel Pit <br />3. Permitted acreaee (new or existine site): 56.06 permitted acres <br />3.l Change in acreage (+) acres <br />3.2 Total acreage in Permit area 5 6 .06 acres <br />4. Fees: <br />4.1 New Application 31.875.00 application fee <br />4.2 New Quarry Application 3?.325.00 quarry application <br />4.3 tvfilling Application (Non-DMO) 33.100.00 milling application <br />4.4 Amendment Fee 31.550.00 amendment fee <br />4.5 Conversion to 1 12 operation (set by statute) 31.875.00 conversion fee <br />5. Primary commoditie(sl to be mined: Sand & Gravel <br />5.l [ncidentalcommoditie{s)tobe mined: I.N~A Ibsffonslvr 2. / Ibslions)vr <br /> 3. / Ibslfons/vr 4. / Ibsrfons/vr 5. / Ibs/i'ons/vr <br />5.2 Anticipated end use of primary commoditie(s)tobemined: GOnStrllCti.On materials <br />5.3 Anticipated end use of incidental cnmmodi[ie(s) to be mined: N/A <br />