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-ii~iiuuii-iiiiii ~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY A^~~~~ ~ 1~1e~h e~ ~ ~' <br />Depanmenl of Nawral Resources Fier ~l IV <br />131 J Sherman 51.. Koum 215 I`~k~ <br />Denver, Gdor, do R0~03 JUN o I IY <br />Phone' 13071 R66~35fi7 ~~~ ~ 8 1998 <br />Fnx' 13031 R3'-alnfi <br />//~~~~~~ DEPARTMENT OF <br />DENVER OFFICE CONSTRUCTION MATERIAES'°~ o~~ ~ ~c~u)~89 ~SOURI~CES <br />PUQ3LIC/~FIpLE COPY ~GULAR OPERATION (112) Roy Romer <br />FILE. /U_ /1+0J ~ ~CI'AMATION PERMIT APPLICATION FORK RECEIVED Go"ernnr <br />SL~,~C '~ I~mesS LuchheaJ <br />~..~M West E~ R, f JUN 15 1998 `'eca1rvcD1e1"' <br />CaMrts:on °SPp' No.tAI-sal o~~;~e~o~ ~~, <br />Division of Minerals & Geology <br />CHECK ONE: New Application (Rule. 1.4.5) Amendment Application (Rule 1.10) <br />X Conversion Application (Rule 1.11) <br />Permit ~ M - (92 - 017 -_ (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 sinned 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 6e bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" <br />or 8 1/2" X 14'• size. To expedite processing, please provide the information in the format and <br />order described in this form. <br />------------------------------------------------------------------------------------ <br />------------------------------------------------------------------------------------- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly in the space provided the information requested below. <br />------------------------------------------------------------------------------------- <br />------------------------------------------------------------------------------------- <br />1. Applicant/operator or company name (name to be used on permit): <br /> MONTROSE COUNTY <br /> 1.1 Type of organization (corporation, partnership, etc.): COUNTY GOVERNMENT <br /> 1.2 I.R.S. Tax I.D. No. or Social security Number: <br />2. Operati on name (pit, mine or site name): BLf4 ~ 1Vest Etld Plt <br />3. Permitted acreage (new or existing site) COIDblIled eX15t1R(~ 19.15 permitted acres <br /> 3.1 Change in acreage (+ or -) +1 0.25 acres <br /> 149 <br />0 <br /> 3.2 Total acreage in Permit area • <br />acres <br />4. Fees: <br /> 4.1 New Application 51,875.00 application fee <br /> 4.2 New Quarry Application S2,325.00 quarry application <br /> 4.3 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) X 51,875.00 conversion fee <br />5. Primary commoditieisl to be mined: Soil Sand Gravel <br /> 5.1 Incidental commoditie(s) to be mined: 1. lbs/Tons/vr <br /> 2. / lbs/Tons/vr 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/vr 5. / lbs/Tons/vr ~ <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: COriStSUCt10i1 <br /> 5.3 Antic se of incidental commoditie(s) to be mined: YI & <br />