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R~~r-a, r 5~IATE <br />COLORADO <br />DIVISION Of MINERALS AND GEOLOGY f Eli 0 9 cuUb <br />[kpanment of Naturil Resources ~/t., a~n~ `~ / t~ <br />13135hertnan St., Haom 215 8fY),41Bn of Minerals and Geology ~O [ ` COLORADO <br />Denver, ColOndO a0207 O I V I a l O N O F <br />Phone. (303) 8667567 CONSTRUCTTON MATERIALS M I N ~RA L S <br />Fnx:17oA 932-Bt06 REGULAR (112) OPERATION G E O L O G Y <br />RECLAMATION PERMIT APPLICATION FORM as ieiiir1OC iu~c"iNO <br />sill O~ent <br />GovemOr <br />C[-PECK ONfi _ There ie a FGe Number Alrrady Aui~ed to thh Operatbn Rip ~~ <br />Permu # M -_ _ _ (Please reference the file number currently assigned [o this operation) aaean"e oLau« <br />_~ New Application (Rule 14 5) , Amendment A Ilcatlal Rulc 1 10 aoaald w. rwar <br />PP ( ) Owewn Da~ctar <br />Conveninn Appbcanon (Rule 1 11) Nal«ai aeource Trvstre <br />Perms # ~-~ _ _ (provide for Ameodmwts and Conversions of e~elsting permits) <br />The apphcauon fey a Consirucuon Materials Regulaz 112 Operation Reclamation Pertmt contains three mayor parts. (t) the apphcation form. <br />(Z)Erflibds A-S,Addendum 1. any sections of Exhibit6.5(Geotechtacal Stabdlty F.xhlbd; and (3)the application fee When you subrmtyour <br />apphcnuon, he sure to include one (I) comolete sf an_ed and notarized ORIGIlVAL and one (1) copy of the completed apphcetiai fain, Iwro (Z) <br />copes of Exliibns A-S, Addendum I, appropriate sections of6 5 (Geotechaical SmbihtyExhlhrt, and a ehecb for the application fee desabed <br />undo Section (4) bebw E~dltblts should NOT be bound or m a lmng binder, maps should be folded to 8 1 /Z" X I I' or 8 12' X I4' srze To <br />exp~ne pmcessmg, please provrdc the utformahon m the formal and order described m this form <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, io the apace provided, I.L Information requested below'. <br />I Anplkant/oncratorormmnanvwama(nametoneuaadonnermh) Oglebay Norton Industrial Sands, Inc. <br />11 7)peoforgemzauon(wrporauon,pazmershlp,etc) Corporation <br />2 Ooea wtbnname(oit.mineoraiteoame) Jemadoiin Sand Mine <br />3 Permitted acreage (new or eaietin¢ ahel• 299.78 permuted saes <br />3 I CMnge m acreage (+) acres <br />3 2 Total acreage m Permit area 299.78 aces <br />d Feea <br />4 I New Applicatlnn $2.344 00 application fee <br />4 Z New Quany Apphwbon $2.906.00 quarry apphemion <br />4 4 Amendment Fec $1.938.00 amendment fee <br />4 6 Conversion to 112 cpera4un (set by statute) $2.344.00 conversion fee <br />5 PI'Imarvrnmmodhk(altabemleed sand <br />5 I Incidental commodlbe(s) to be mined 1 Ibs?aisJVr 2 / Ibs/rons/yT <br /> 3 / _1bsJfons/yr 4 ! IbsrfonsM 5. 1 lbvrfonsh7 <br />52 Anbcipatedendllseofpnmarycommoehtie(s)tobemined sand pack for oil and water well construction <br />5 3 Anticipated end uce of incldemal commoclttte(s) to be mined none <br />office of O#ice of Colorado <br />Mined land Reclamation Mive and InaNse Mines Geobgipl Survey <br />