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<br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resour[es RECEI VEC <br />1313 Sherman St., Room 215 <br />Denver, Colorado 60203 <br />Phone: (3031866-3567 CONSTRUCTION MATERIALS MAR 3 i ,.~~3 <br />FAX: (303) 832-6106 REGULAR (112) OPERATION <br />RECLAMATION PERMTT APPLICATION FOI~IVlsion of Minerals and Ce <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />Permit # M -~ _ _ (Please reference the file number currentty assigned [o this operation) <br />New Appbcation (Rule 1.4.5) ~~ Amendment Application (Rule 1.10) <br />`Conversion Application (Rule 1.11) <br />Pemti[ # M -~2 _- 01 6 -_ (provide for Amendments and Conversions of existing permits) <br />~~ <br />DI Vf SION O!' <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />~MI NING•SAFEYY <br />Bill Owens <br />Governor <br />Grea E. Watcher <br />Executive Director <br />Michael 8. long <br />Division Director <br />The application for a Consttuction Materials Regulaz 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhrbits A-S, Addendum 1, a~ sections of Exhibit 6.5 (Geotecimical Stability Exhibit; and (3) the application fee. When you submit ycur <br />application, be sure to include one (1) comolete sieved and notarized IVORY ORIGINAL and four (4) copies of the completed III <br />application form, Sve (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geo[echnical 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 [o <br />8 1/2" X 11" or 8 ]/2" X 14" size. To expedite processing, please provide the information in [he format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. AppGcaotloperator or rnmoanvname (name to be used on oermtt): <br />Rockv Mountain Materials & Asphalt Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 LR.S. Tax LD. No. or Social Security Number: <br />2. Operation name (nit. mine or site Hamel: Penrose Ranch' s <br />3. Permitted acreage (new or eaistin¢ site): 2 3 6 permitted acres <br />3.1 Change in acreage (+) 2 2 6 0 acres <br />3.2 Total acreage in Permit azea 2 496 acres <br />4. Fees <br />4.1 New Application $2 344.00 application fee <br />4.2 New Quarry Application $2,906.00 quarry application <br />4.4 Amendment Fee $1,938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2 344 00 conversion fee <br />5. Prim ary commoditie(s) to be mined: Sand gravel <br />5.1 Incidental commoditie(s) to be mined: 1. ! IbslTonslyr 2. ! ibs/Tons/vr 3. { 1bsiTons(vr <br /> <br /> 4. / ]bs/Tons/vr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commotiitie(s)tobemined: Asphalt, concrete, cons truction, land- <br /> ~ape <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />