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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1373 Sherman St., Room 225 <br /> <br />Denver <br />Colo2do 8p203 C O L O R A D O <br />, <br />Phone: (303) 866x567 <br />CONSTRUCTION MA'PERIALS u I v 1 5 1 o N O F <br />RECLAMATION <br />FAX: (303) 832$706 <br />REGULAR (112) OPERATION MINING <br /> `&_ <br /> RECLAMATION PERMIT APPLICATION FOR,'11 SAFETY <br />Bill Owens <br />Governor <br />CHECK ONF.: X There is a File Number Already Assigned to this Operation Russell Gearge <br />Permit # ~i -~.Qa1035._ (Please reference the file number currently assigned to this opera(f6ff~'"e Director <br />Ronald W. Caaany <br />4 New Application (Rule 1.4.5) X Amendment Application (Rule L 10) pfvfsion olrecror <br />____ Conversion Application (Rule 1.1!) Natural Resource Trustee <br />Permit # Vf 2001-035 -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclatnation Permit contains three major parts: (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 signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should N01' be bound or in a 3-ring binder; [naps should be folded to <br />8 1; 2" X I I" or 8 1 /2" X 14"size. To expedite processing, please provide the information in the forma[ and order described in this form <br />GENERAL OPERA'f10N LYFORMATION <br />Type or print clearly, is the space provided, ALI, information requested below. <br />1. ApplicanUooerator or company name (name to be used on permitl: Ana_P>_oducta. Tnr . ~-___^ <br />1.1 Type of organization (corporation, partnership, etc.): <br />2. Operation name (pit, mine or site Hamel: Trout Creek Pit ~_ <br />3. Permitted acreage (new or ezisttna site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversiuri to 112aperation (se[ by statute) - _ ` <br />5. Priman• commoditie{sl to be mined: fi 1_l sand <br />5.1 Incidental commoditie{s) to be mined: <br /> <br />74 - permitted acres <br />20 acres <br />94 acres <br />_ 2$ ,344.00 , application fee <br />$2,906.00 quarryapplicalion <br />$1,938.00 amendment fie <br />- ~ -~ _ 2.344:00 _- conversion fee <br />1. ____,,.__ Ibs!Tons(yr 2. / __, 1bvTons/ r <br />4. ! Ibs,Tons/vr 5. __ / (hsll'ons+yr <br />5.2 Anticipated end use of primary conmtoditie(s) to be mined: ConStruCtiOn flll SdLld _ __~_ <br />5.3 Anticipated end nse of incidental commoditie(s) to be mined: _________._ ._____-__._______ <br />Office of Office of <br />Mined larrtl Reclamation Active and Inactive Mines <br />