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,i ~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />RECEIVED <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAFETY <br />MAR 2 6 2003 <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION ./ <br />Division ~f Minerals and Geology- <br />Bill Owens <br />RECLAMATION PERMIT APPLICATION FORM Governor <br />Greg E. Watcher <br />Executive Director <br />CHECK ONE: There m a Ft7e Number Already Assigned to this Operation <br />J Ronald W. Cattany <br />Permtt # M (Please reference the file number clarently assigned to this operation) Acting Division Director <br />-~_~~_ <br />New Application (Rule 1.4.5) ~_ Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M -~_-~_-_ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Perffit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendmn 1, any sections of ExhrbB 6.5 (Geotechnical Stability Exlul>it and (3) the application fee. When you submit your <br />application, be sore to include one (1) complete sieved and notarized IVORY ORIGINAL and one (1) copy of the completed I~ application <br />form, two (2) copies of Exhrbits A-S, Addendum I, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application <br />fee descn-bed Hader Section (4) below. Exbibits should NOT be bound or m a 3-ring binder; maps should be folded to 8 I/2" X 11" or 8 1/2" <br />X 14" size. To expedite processing, please pmvide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the apace provided, ALL information requested below. <br />1. AuulicanUocerator or comnanv name (name to be used on cermkl: Southway Construction CO. ,Inc . <br />1.1 Tvpe of organization (corporation, partnership, etc.): Coruoration <br />1.2 I.RS. Tax 1.D. No. or Social Security Number: <br />2. Operatioe name fok, mine or ske Hamel: Del Norte Pit <br />3. Permitted acreage (new oc e9stins site): <br />3.1 Change in acreage (+) <br />3.2 Tota; acrea~z v-t Peru area <br />4. Fees: <br />4.1 New Application <br />4.2 New Qtlatry Application <br />4.4 Amendment Fee <br />45 Conversion to 112 operation (set by statute) <br />~. Primary commoditie(sl to be mined: Sand gravel <br />5.1 Incidental commoditie(s) [o be mined: 1. ros/Toaslvr <br />3. / Ibs/Tons/vr 4. / IbsJTons/vr <br />o~~znn pz:m;ned a~: es <br />~~ ec acres <br />-ter. >~ <br />~ G acres <br />$2,344.00 application fee <br />$2 906.00 gaarry application <br />amendmc:,t fee <br />~ ~.~ conversion fee <br />z. / roslTnns/vr <br />5. / 1bs/Tonshr. <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Consruetion Aggregates <br />5.3 Anticipated end Ilse of incidental commoditie(s) to be mined: N/A <br />