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999 HATE,(:: COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY VjC44=l_D({- <br /> I r13 Sh onl of St., Rol Resources �� <br /> I SIS Shi•rm,in 5l.. Room_'15 <br /> Donwr,Colorado 80203 <br /> P m, I S)866-3567 <br /> F.AX.110 II 832-8106 RECFINIED DEPARTMENT OF <br /> NATURAL <br /> CONSTRUCTION MATERIALS JAN 2 7 1999 RESOURCES <br /> REGULAR (112) OPERATION vislon of Minerals 8 Geology Roy Romer <br /> RECLAMATION PERMIT APPLICATION FORM Governor <br /> James 5.Lochhead <br /> Executive Director <br /> Michael B.Long <br /> Division Director <br /> CHECK ONE: X New Application (Rule 1 .4 .5) Amendment Application (Rule 1.10) <br /> Conversion Application (Rule 1.11) <br /> 4J.Permit # -� Q( i (provide for Amendments and Conversions of <br /> existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains <br /> three major parts : (1) the application form; (2) Exhibits A-S, Addendum 1, any sections of <br /> Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br /> application, be sure to include one (1) complete signed and notarized IVORY ORIGINAL and four (4) <br /> copies of the completed Ivory application form, five (5) copies of Exhibits A-S, Addendum 1, <br /> appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee <br /> described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps <br /> should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide <br /> the information in the format and ibed in this form. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, ALL information requested below. <br /> -------------------- <br /> 1. Applicant/operator or company name (name to be used on permit) : <br /> Sand Land, Inc. <br /> 1.1 Type of organization (corporation, partnership, etc. ) : corporation <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-1375046 <br /> 2 . Operation name (pit, mine or site name) : Kurtz Resource Recovery 6 Land Development Project <br /> 3 . Permitted acreage (new or existing site) : Refer to Ex. C-2: 294-7R permitted acres <br /> 3 .1 Change in acreage (+) 0.60 acres <br /> 3 .2 Total acreage in Permit area 295.38 acres <br /> 4. Fees: <br /> 4. 1 New Application X $1, 875.00 application fee <br /> 4.2 New Quarry Application S2 , 325 .00 quarry application <br /> 4.3 Milling Application (Non-DMO) S3, 100.00 milling application <br /> 4 .4 Amendment Fee $1, 550.00 amendment fee <br /> 4 . 5 Conversion to 112 operation (set by statute) 51, 875 .00 conversion fee <br /> 5 . Primary commoditie(s) to be mined: Sand Gravel other Earth Products <br /> 5 .1 Incidental commodities) to be mined: 1 . N/A lbs/Tons/vr <br /> 2 . N/A i lbs/Tons/yr 3 . N/A / 1bs/Tons/vr <br /> 4 . N/A / lbs/Tons/vr 5. N/A / lbs/Tons/vr <br /> 5 .2 Anticipated end use of primary commodities) to be mined: cons truction-seeTable D-1 <br /> 5 .3 Anticipated end use of incidental commoditie(s) to be mined: N/A <br />