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STATE OF COLORADO <br />DIVtSiON OF RECLAMATION, MINING AND SAFETY <br />Depanrnent of Natural Resources <br />7373 Sherman St., Room 275 <br />Denver, Colorado 80203 r= n e""~" ~~ C O L O R A D O <br />. a ~ ' ~ DIVISION O F <br />Phone: (303) 86(x3567 CONSTRUCTION MATERW:S,: ~ ''~ RECLAMATION <br />FqX: (3037 832-8706 - r M I N I N G <br />REGULAR (112) OPERATION FFg ~ ~ /n!~T _ ~ _ <br />RECLAMATION PERMIT APPLICATION FbRM ,; ,'eilr SAFETY <br />~~, ~` .T.. .' r <br />t""' BHIOwens <br />Govenwr <br />CHECK ONF..: X There is a File Number Already Assigned to this Operation Russell George <br />Permit q M - 9 6 _ 0 0 _ 8 (please reference the file n7unber currently assigned to this operaEliSiry°"~ oo-ettor <br />Ronald W. rattany <br />New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) oivi:ion Director <br />Conversion Application (Rule 1.11) Neural Resource rru4ee <br />Permit N M - 9 6 _ 0 0 _ 8 (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 1 l2 Operation Reclamation Permit contains three major patts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete simed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendtun 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 of in a 3-ring binder; maps should be folded to <br />$ i /2" X 11" or 8 112" X 14" size, To expedite processing, please provide the information in the fottnat and order described in this form <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL in[ormation requested below. <br />1. Aoolicant/onerator or comoanvname (name [o be used on permit): <br />Western Gravel, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): North R-34 Pit <br />3. Permitted acreace (new or eristige site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />37.415 permitted acres <br />acres <br />acres <br />4. Fees: <br />4.1 New Application $2.344.00 application fee <br />4.2 New Quarry Application quarry application <br />4.4 Amendment Fee 1 938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) 52,344.00 conversion fee <br />5. Primary rnmmoditie(sl to be mined: gravel Sand <br />5.1 Incidental commoditie(s) to be mined: 1. 70,000 total Ib ons/vt 2. / Ibs/TonsJyt <br /> 3. _ / IbslTons/vr 4. / IbsR'onslvr 5. / Ibsfl'onslvr <br />5.2 Anticipated end use of primary corrvnoditie(s) to be mined: road bas@, asphalt, and concrete <br />5.3 Anticipated end use of incidental comnrodi[ie(s) to be mined: <br />Office of t)f(ice of <br />MiM'd Land Reclamation _ gUive and Inactive Mines <br />