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II'I~II~II~II~~ ~~~ <br />999 <br />STATE OF <br />COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1 J 1 3 Sherman 51., Room 215 <br />Denver, ColnmAo 80203 D ~ r F ~ ~J ~ <br />Phone: 11031 AGfi~7567 <br />FA%:1307) 8}'!-8106 <br />leN 061998 <br />CONSTRIICTZON MATERIALS <br />:...,~ ,.~ulerais ~ Geology <br />REGOLAR (112) OP£?ATLO:`: <br />F'.F.:.':..lt'iA~_'Ip`: °_c_y _'= is'?L:. Cn?Il::i cr;£N. <br />~''~ <br />II~~ <br />DEPAR'T'MENT OF <br />NATURAL <br />RESOURCES <br />R.~y Rar^.~ <br />lames 5. Lochhead <br />Eaecurive Director <br />Michael B Lang <br />Division Director <br />CHECK ONE: New Application (Rule 1.4.5) ~(~ Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M _ 87 _ 038 -_ (provide for Ameadmente and Coaversiona 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 Ivor 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 order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space yrovided, ALL information requested below. <br />------------------------------------------------------------------------ <br />1. A licaat o orator or c as name acme to be used on ermit <br />Western Mobile Northern, nc. <br /> 1.1 Type of organization (corporation, partnership, etc.): Corporation <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Operation name (pit, mine or site name): Bayfield Pit No.l <br />3. Permitted acreage (new or existing site): 52.88 permitted acres <br /> 3.1 Change in acreage (+ or -) +11.05 acres <br /> 3.2 Total acreage in Permit area 63.93 acres <br />4. Fees: <br /> 4.1 New Application 51,875.00 application fee <br /> 4.2 New Quarry Application 52,325.00 quarry application <br /> 4.3 Milling Application (Non-DMO) $3,100.00 milling application <br /> 4.4 Amendment Fee -j 51,550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) __$1,875.00 conversion fee <br />s. Primar y commoditie(s) to be mined: Sand Gravel <br /> 5.1 Incidental commoditie(s) to be mined: 1. lbs/Tons/vr <br /> 2. / lbs/Tons/yr 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/yr 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />