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<br />iii iiiiiiiiiiiiiiii <br />STATE <br />DIVISION OF MINERALS AND GEOLOGY <br />Departmem nl N,vural Rewurces <br />I S I S Sherman $L, Room ? I S <br />Denver, G>lur~do N02UJ <br />Phunr: I :0 41 N66-}Sfi7 <br />FAX 140L NJ: BIDE <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />• <br />O~~k~RADO <br />SEP 2 ~ 2001 <br />Division of Mjftprals and GeoloAY <br />°T ~~~~~ <br />9°f ~Y°er ?00~ <br />RECLAMATION PERMIT APPLICATION FORM d~~'u°~ <br />M-2ool-loo ~B°%°,. <br />\~ <br />DIVISION O F ~ <br />MINERALS] <br />GEOLOGY <br />RECLAMAiIONI <br />MINING•SAFETY <br />Rol ovens <br />Governor <br />Grc4 E. Walche~ <br />Exetulive Director <br />CHECK ONE: X New A lication Rule 1.4.5 Amendment A lication Rule I.IO(~' `noel e. Long <br />PP ( ) PP ( Drvlsion Dueaar <br />Conversion Application (Rule I.I 1) <br />Permit # M - -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Mazerials Regular 112 Operarion Reclamation Permit contains three major parts: (I) the application form; <br />(2) Exhibits A-S, Addenduun 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (I) complete signed and notarized IVORY ORIGINAL and four (4) copies of the completed Ivy <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate secrions 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 11" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described N this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, im the space provided, ALL imformation requested below. <br />Oldcastle SW Group, Inc. dba <br />1. AooGesndoperator or com many name (mame to be used om permit): UNITED COMPANIES OF MESA GOUNTY~-~3i .. <br />I.l Type of organization (corporation, partnership, etc.): CORPORATION <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Omeration name (nit, mine or site name): BLM PIT N0. 1 <br />3. Permitted acreage (new or existing site): 35.6 permitted acres <br /> 3.l Change in acreage (+) acres <br /> 3.2 Total acreage in Permit area 35.6 acres <br />4. Fees: <br /> 4.1 New Application 2 , 344.00 -~-1-8}~g p applicarion fee <br /> 4:2 New Quarry Application 2 , 906.00 -~325~ t1 quary application <br /> 4.3 Milling Application (Non-DMO) -53-4969 milling application <br /> 4.4 Amendment Fee 1 , 938.00 ~i:i56-p 9- amendment fee <br /> 4.5 Conversion to 1 l2 operation (set by statute) 2 , 344.00 ~~ ~ conversion fee <br />5. Primary commoditie(s) to be mined: SDG <br /> S.l incidental commoditie(s) to be mined: 1. Ibs/fons/vr 2. / Ibs(fonslvr <br /> 3. / Ibslfons/vr 4. / Ibs/fons/vr 5. / IbslTons/vr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: CONSTRUCTION AGGREGATES <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: CONSTRUCTION STRUCTURAL FILL <br />'A1 SFF' 17 oM17:1'i <br />