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s-rRTE ~ <br />DIVISION OF MINERALS AND GEOLOGY <br />Deparmrem n( Na wral Resources <br />1 liJ $herm,m SL, Room 215 <br />Denver, Colorado tl0207 <br />Phunc: 17U i) 8GG-3567 <br />FAX: (70.7) H72-!1106 <br />CONSTRIICTION MATERIALS <br />REGVL7-R (112 ) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />Roy Romer <br />Governor <br />dames S. LOChhead <br />Enecmive Director <br />Michael 8. Long <br />Division Dire<lar <br />CHECK ONE: New Application (Rule 1.4.5) R Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - 77 - 572 -_ (provide for Ameadmenta ar.d Conversions of <br />existing permits) <br />The application for a Construction Materials Regular 112 pperation Reclamation Permit contains <br />three major parts: (1) the application form; (2) Exhibits A-S, Addendum ], any sections of <br />Exhibit 6.5 (Geotechnical Stability Exhibit; and t3) 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 Ivorv application form, five (5) copies of Exhibit;; A-S, Addendum 1, <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the applicationMfee <br />described under Section (9) 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 />___________________________________________________________________~==a~~~ ______ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, is the space provided, ALL information requested below. <br />--------------------------------------------------------------------------------------------- <br />1. Applicant/operator or company name (name to be used on permit): <br /> 1. 1 Type of organization (corporation, partnership, etc.): CORPORA7.'ION <br /> 1 .2 I.R.S. Tax I.D. No. or Social security Number: 4 <br />2. O~ aration name (pit, mine or site name): LAMAR EAST PIT <br />3. Permitted acreage (new or existing nits): 77•$5 _ permitted acres <br /> 3. 1 Change in acreage (+ or -) +4.33 acres <br /> 3 .2 Total acreage in Permit area 82.18 acres <br />4. Fees: <br /> 9 .1 New Application 51,875.00 application fee <br /> 4 .2 New Quarry Application 52,325.00 cuarry application <br /> 9 .3 Milling Application (Non-DMO) 53,100.00 milling application <br /> 4 .4 Amendment Fee 51,550.00 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: SAN)) GRAVEL <br />5.1 Incidental commoditie(s) to be mined: 1. 1bsJTOnslvr <br />2. / lbs/Tons/vr 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: CONCREPE, ASPNALT,LANDSCA' <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />COLORADO <br />REC =-)r <br />APR 2 9 1998 <br />Divisipn of Minerals 3 Geob~ry <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />.. ._.,_, .. ,.s.,rW~ .~.. ._. .. .... .,.z.. . ..,.. _ .. .. ........ .sr`. ...~ I . .... ,... _...~.,. <br />