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~a.~~.~ <br /> <br /> STATE OF COLORADO <br />DIVISION OF MINERALS AND <br />Gepanmem of Natural Resources GEOLOGY RECEIVED <br />1313 Sherman SL, Room 21 i <br />Denver, Colorado ©0203 <br /> <br />CONSTRUCTION MATERIALS <br />D 1 v r 5 1 D N o f <br />MAR O IF POOP MINER <br />Phone: (3071 866-356J AL S <br />fAX: (3031 832-8 7 06 REGULAR (112) OPERATION S` <br />G E O L O G Y <br /> RECLAMATION PERMIT APPLICATION A <br />C1t1~ of Minerals and Geology <br />RECLAMATION <br /> MINING•SAf ETY <br />CI~CK ONE: There is a File Number Already Assigned to thin Operation <br />Permit # M ,~.1; Oeb_ (Please reference the file number currently assigned to this operation) <br />~_ New Application (Rule 1.4.5) <br />_ Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.1 l) <br />Permit # Iy - (provide for Amendments and Conversions of existing pemtits) <br />Bill Owens <br />Governor <br />Greg E. Watcher <br />Executive Director <br />Michael B. long <br />Division Di,eROr <br />The appbcation for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhtbits A-S, Addendum I, any sections of Exltibit 6.5 (Geotechnical Stability Exhibit; and (3) the apphcation fee. When you submit your <br />application, be sure to include one (l) complete sitmed and notarized IVORY ORIGIlVAL and four (4) copies of the completed Ivo[v <br />application form, five (5) copies of Exhibits A•S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stabdily 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 1/2" X 11" of 8 1/2" 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, in the apace provided, all information described below. JI- t _ a(~O~ -OoZ O <br />1. Ao//niicanUooerator or comnanv name (name to be used on Hermit): <br />,/i~.;t„ „f r_,-onto., <br />1.1 Type of organization (corporation, partnership, etcJ: Mnn; c; na 1 Cnrnnra r i nn <br />l.2 I.RS. Tax I.D. No. or Social Security Number: <br />2. Operationname(Hi4mineorsitename): V 25th Avenue Site <br />3. Permitted acreaee (new or e:istine aite): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />89.16 permitted acres <br />acres <br />89.16 acres <br />4. Fees <br />4.1 New Application S2 344.00 application fee <br />4.2 New Quarry Application 52.906.00 quarry application <br />4.4 Amendment Fee 51.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) 52 344.00 conversion fee <br />5. Prim ary commoditiefsl to be mined: sand gravel <br />5.1 incidental commoditie(s) to be mined: In 1 a ! IbslTonsfyr 2. f Ibs/Toaslvr 3. ! 1bsR'ons/vr <br /> 4. ! lbs/I'ons/vr 5. ! lbslTonslvr <br />5.2 An[icipatedendtrseofptimarycottimoditie(s)tobemined: Construction materials <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: n ( a <br />