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TATE-OF <br />DIVISION OF MINERALS AND GEOLOGY L~~ r' <br />Deparanent of Natural Resources <br />1313 Shemwn St, Room 2t s ~'SS C O L O RAD O <br />Denver, Colorado 80203 ~ ~ DIVISION O F <br />Phone: (303) 8663567 CONSTgIICTION MATEBIAIS M I N FF R~ A L S <br />FAX: (303) 8328106 1ZEGDI.AB (112) OPF.RATION$l tjp E O L O G Y <br />~~,~~ BECLAMATIONPF.RMIfAPPLICATIONFO 9 EEtLANATION•NININC <br />SAf ETT•SUENCE <br />Bin (]Wtl15 <br />CHECK ONE: X Then 6 a FIIe Number Already Aaaip-ed lb thb Operation cwenwr <br />Rraselt GLnrge <br />Permit # Iv 2005 071. `~~(ptease refer~ce the file member c~nteutly assigned to this opcatian) E~erre are~r <br />New Application (rule 1.4.s) X Ammdmmt App1iEE~tinan (Bede 1. t0) Ronald w. campy <br />DNision Din#or <br />_ Convenioq Application (Rule 1.12) Nazu21 Resourcx Tnaoee <br />Permit # _ vL - 2005. 071 _i (p~be {~ Amendmmb and Conven[om of ari'~mg permits} <br />The application for a Constrtration Ivlat~ials Regular 112 OpetffiipnRec]amaticnPenmL three mejm parts: (1) the applicationfotm; <br />(2)ExbrbitsAS,Add®dam],acrysediwsofFxhtbit6.5(GeotechaicelStabilityExiu'bit;and(3)thcapplice2ic~nfee. Whraytwsal~ityaa <br />application, be sate to include one (1) complete sipped s~notatized OBI6INAL and otte (1) wpyclf fhe oompl~ed appliE~tion&am,two(2) <br />copies ofExhrbits A-S, Addendum 1, appropriate sections af6.5 (Geatecbnical StabilityExhibit, apd a check forthe epplicelioufce desm'bod <br />under Section(4)below.Exlubitsshould 1~OTbeboimdarina3-tiagbiada;mapsshorildbefol~dto81/L'X11"ot81/2"X14"srae.To <br />expedtie processng, Please provide the ipformalian is the format and order des¢xbed is this form. <br />C,E21ER.4I, OPERATION INFORMATION <br />T9Pe or P~ ~~Y+ la the trpace provided, ALTL iolormatiora regaeated bebw. <br />1. ~1~p6karat/otreraMr oroomnaray Dame (naeEe to be Eaed m oesm~):' Benson Brothers <br />I.1 Type Ed'orgrotzahon (mrpmation, Partnership, etc.): Partnership <br />1.2` I.R.S. Tax ID. No. or Social Sawity Number <br />2. Operation ttame (oiG mine or site ttawel: Benson Brothers Red Shale Pit f <br />3. Permitted actxa¢e fnew or eastiraa nUeY <br />3.l Change in atxrage (+) <br />3.2 Total acreage in Pemut area <br />4. ~: <br />4. ] New Application <br />4.2 New Query Application <br />4.4 AmetFee <br />4.5 Conversion to 112 operation (set by stahrtc) <br />\~~ <br />~f5.~ ,.:,y, <br />AFB 1 , ,. <br />0/v ~pn f Mn ~~e/2Q~,a,? <br />/a $ ~+ca <br />°8p <br />5. Primary commoditiefst W be trained: Red Shale Off-color shale <br />5.1 Incidental commoditie(s) to be trained: 1.boulders 50 tbsfl'ons/vr <br />3. ! lbs7fa~ns/vr 4. / lbs/fottshr <br />29.1 permitted acaes <br />0.4 acaes <br />29.5 acres <br />52344.00 application fee <br />52.906.00 quarry applica<i~ <br />$1938.00 ame~tfee <br />52.344.00 caraversion fee <br />2. / Ibs/fons/~ <br />5. / ]bs/fonslvr <br />5.2 Apticipatodepd useofprmrary~mptaditie(s) to bemi~d: Decorative rock and construction aggregate <br />5.3 Anticipated end use of incidental commodities) to be mined: Landscape boulders <br />RECEii/ED ~ , <br />FEB 2 116 <br />Office of Office of Colorado <br />8ivisioa of Minerob and 6eoloBY <br />