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~/; 9~8.00 <br />S PATE OF COLORADCJ <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman SC, Room 21 i I <br />Denver, Colorado 60203 D l v 15 1 0 N O F <br />Phone: (303) s66-3567 /CONSTRUCTION MATE13IA1~'~C COPY MINERAL S <br />R~~ElVE REGULAR (112) OPERATIO ~~gNNING GEOLOGY" <br />RECLAMATION PERMIT APPLICATI a E c E A M A r I o N <br />Of~l' O ~ ~ MINING•SAFETY <br />Division of Minerals and Geology Bil I Owens <br />Governor <br />CHECK ONE: There is a File Num~r Already Assigned to this Operation <br />Greq E. Walther <br />Permit # M -1998 -QL3 (Please reference the file number currently assigned to this operation) Executive Director <br />Michael 8. long <br />New Apphcation (Rule 1.4.5) ~_ Amendment Application (Rule 1.10) Division Director <br />Conversion Application (Rule 1.1 I) <br />Permit # M - -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form: <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (I) wmnlete siffied and notarized IVORY ORIGINAL and four (4) copies of the completed Ivory <br />application form, five (5) copies of Exhibits A-S, Addendmn 1, appropriate sections of 6.5 (Geotechnical 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 to <br />8 1/2" X 1 l" or 8 I/2" X 14" size. To expedite processing, please provide [he information in the format and order described in this form. <br />~ GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. A ~ ~ r r/ <br /> I. A~rplicant/operator or rnmpanv name (name to be used on permit): <br /> Mal l-Irwin Corporation / <br />• L1 Type oforganization(wrporation, partnership, etc.): EorPoration <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />• 2. Operation name (pit. mine or sitenamel: The Shores. Firestone. CO ~ <br /> <br />• 3. Permitted acrease (new or eaistine sitel: 309.83 permitted acres <br />• 3.1 Change in acreage (+) acres <br />• 3.2 Total acreage in Permit area 309.83 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 /> <br /> 5. Prim ary commoditie(s) [o be mined: sand gravel <br />• 5.1 Incidental commoditie(s) [o be mined: 1. 401 d 5 b ons/yr 2. / Ibs/Tons/vr 3. / Ibs/Tons/vr <br /> <br /> 4. / Ibs/Tons/vr 5. / ]bs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)tobemined: COnstrUCtlOn materials <br /> <br /> 5.3 Anticipated end use of incidental cotttmoditie(s) to be mined: <br />