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STATE OF COLORADO <br />DtVIS1oN OF BC{4tMAT16N, MINING ANp SAFETY RECEIVED <br />t3eparOnent of Natural Resources <br />"" stmrman Sr., "°°"' 2, s 'JUN <br />2 8 ZO O L O R <br /> <br />Denver, Colorado 60203 , <br />A D <br />, <br />P I v I s r a H ~ <br />Phone: (303`, 6663567 <br />CONSTRUCTION MATERIALS <br />FAX: 13031632$106 Division Df ecla BFICLA(NATIC <br />R I N I NG <br />REGULAR (112) OPERATION Mining and Sa ry ~ Sr- <br />RECLAMAT[ON PERMIT APPLICATION FOR.'-T SAFETY <br />Bill Owens <br />Govesna <br />~IE~'K ON>i: X There k a File Number Already Assigned ro this Operation Ruseu cease <br />Perrrrii a hi -~ o -~ (Pk'eae reference tlx fik number cwrently essigged to this operq~&j""` o~renor <br />New A licatioa Rule 1.4.5 ~AmmOment aa,am w. Casanr <br />______ pp ( ) Application (Rule 2.10) Dwision Okma <br />7C Comersion Application (Rule 1.11) N'"io1 stlO1~ i""~ <br />Permit ri tom- 2004 - OO 1 -_, (provide for Atneudrnegts and Cogversioos of existigg permits) <br />The application for a Cotutruction Materials Regular l 12 Operation Reclarrmtion Pemut contains three rtejor parts: (1) t1x application <br />fomr {2) Exhibik A•S, Addendmn 1, any sections of Exiubit QS {Geoteclmicai Stability Exhibit; and {3) the application fee. Wbeo you <br />submit your application, be sure to inchuk one (1) conm~e_si¢Md oral gotarizsd ORIGINAL and one (1) copy of the carrrpltt<d <br />application form, two (2) copies of Exhibik A-S, Addendum i, appropriate aectioas of6.5 (Geotechnical Stability Exhibit, a>d a check for <br />the application fee described under Sutton (d) below. Exhibits should ~ be bound or io a 3-ring binder, maps sbordd be folded ro <br />8 112" X 11" or $ 1/2" X 14" size. To expedite processing, please provide the information in the format and order described to this form <br />GENERAL OPERATION INFORMATION <br />7`ype or prlat clearly, in the apace provided, ~k inforatatlon requested bebw. <br />1. Ap~licanUoneratororrn~anv»ametgametobeuaedognermit): Lincoln County, <br />1.1 Type of organization (corporation, partnership, etc.): Government <br />2. OneraNOn name (nit. mine or site narm~: Lo f d ah 1 P i t <br />3. Permitted acreage Inew or exist[gg site]: <br />3. t Change in acreage (+) <br />3.2 Total acreage in Pemri[ area <br />4, Felts: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 A,ra=trdrnem Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary rnmgroditie(at ro be gdned: Sand G r a vP t ` <br />5.1 hrciderttal wrrmtoditie(s) to be rrtitrecl: 1. None - 1bsJConslvr <br />3. ! Ibs/foasJvr 4, f lbs/To»slvr <br />8 . 5 permitted acres <br />1 9.6 acres <br />2 8.2 acres <br />X2.344.00 application fee <br />42.906.00 quarryapplicatian <br />1918.00 amendment fee <br />$2344.00 conversion fee <br />2. ~ tbslTorrslvr <br /> <br />5.2 Anticipated end use ofprim9rycomntoditie(s)tobemined: .o rn1-y Road Maintenance <br />53 Anticipated rnd use of incidental rnmrttoditie(s) to be mined: N/A <br />OHice of Uaim of <br />Mined land Ralamation AQWe and Tractive Mines <br />