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a III IIIIIIIIIIIIIIII <br />STATE OF COLORtvw <br />• DIVISION OF MINERALS AND GEOLOGY <br />Depanmenl of NaNral Resources <br />1313 Sherman Sl., Room 215 <br />Denver, Colorado 80203 <br />r'hone: (3031866-3567 <br />FAX:(}031832-8106 <br />CONSTRUCTION MATERIALS <br />REGULAR OPERATION (112) <br />71TION PERMIT APPLICATION FORM <br />II~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Roy Romer <br />Goverrwr <br />James $. Lochhead <br />ERecurive DirMOr <br />Michael B. Long; <br />Division Director <br />CRECR ONE: Ner+ Application (Rule 1.4.5) x Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - 78 _ 267 -_ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Regular 112 Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical <br />Stability Exhibit; and (3) the application fee. When you submit your application, be sure to <br />include one (1) complete signed and notarized IVORY ORIGINAL and four (4) copies of the completed <br />ivory application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 <br />(Geotechnical Stability Exhibit, and a check for the application fee described under Section (4) <br />below. Exhibits should not be bound or in a 3-ring binder; maps should be folded to 8 1/2" X il" <br />r 8 1/2" X 14" size. To expedite processing, please provide the information in the format and <br />~rder described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly in the space provided the information requested below. <br />1. Applicant/operator or company name (name to be used on permit): <br />Otero County Argo Pit <br />2 <br />3 <br />1.2 of or anization cor ration, artnershi County Government <br />TYPe 9 ( Po P P. etc.): <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />Operation name (pit, mine or site name): Argo Gravel Pit <br />Permitted acreage (new or existing site) <br />3.1 Change in acreage (+ or -) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />18.49 permitted acres <br />211.51 acres <br />230 acres <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-DHO) 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) 51.500.00 conversion fee <br />5. Primary commoditie(s) to be mined: Sand Gravel _ <br />5.1 Incidental commoditie(s) to be mined: 1. N/A - lbs/Tons/vr <br />• 5.2 <br />5.3 <br />2. 1 lbs/Tons/vr 3. / lbs/Tons/yr <br />4. / lbs/Tons/vr 5. / lbs/Tons/vr <br />Anticipated end use of primary commoditie(s) to be mined: Road Material <br />Anticipated end use of incidental commoditie(s) to be mined: N/A <br />