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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RECEIVED <br />Department of Natural Resources <br />1313 Sherman St., Room 2 i 5 AUG 132004 / C O L O RA D O <br />Denver, Colorado 8D203 D I v 15 1 0 N O F <br />Phone: (3031 a5p~~,~i CONSTRUCTION MATERI'~iV~sion of Minerals and Geology MINERAL S <br />FAX: (303) 832-7-1 ~ E COPY REGULAR (]]2) OPERATION G E O LO G Y <br />fOR SCANN~N~s TION PERMIT APPLICATION FORM / 0.EC LAMATION•MIN ING <br />SA rETY•ECIEN CE <br />aill Owens <br />CHECK ONE: X There is a File Number Already Assigned to this OperatioD eovemor <br />Russell George <br />Permit k M - 19 _ 8 6 -015 (Please reference the file number currently assigned to this operation)e~utive Director <br />New Application (Rule 1.4.5) XX Amendment Application (Rule 1.10) Ro^aid w, canary <br />/ Division Direcror <br />Conversion Application (Rule 1.11) Naneral Resource Trustee <br />`~ Permit # M - 19 - 8 6 - 015 (provide for Amendments and Conversions of existing pemtits) <br />The application for a Construction Materials Regular l l2 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geo[echnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (l) complete sinned and notarized [ VORY ORIGINAL and one (1) copyofthe cotttpleted <br />Ivy application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate Sections of 6.5 (Geotechnical Stability Exhibit, and a <br />check for the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be <br />folded to 8 l (2" X 11" or 8 1 /2" X 14" size. To expedite processing, please provide the information in the format and order described in <br />this form <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. ~~- O2, / <br />1. A~olicanf/ooerator or comoanv name (Hance tp be used nn perrlritl:Continental Materials Cornoration'~ <br />L1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 LR.S.TaxLD.No.orSocialSecurityNumber. 36-227-4391 <br />2. Operation name toil, mine or site name): <br />3. Permitted acreage (new or existin site <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees <br />4.1 New Application $2,344.00 application fee <br />4.2 New Quarry Application $2.906.00 quarry applicaton <br />4.4 Amendment Fen - - - - - > $1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2,344.00 conversion fee <br />Pueblo East Pit / <br />442.50 permitted acres <br />7.76 acres <br />450.26 acres <br />5. Primary commaditiefsl to be mined: Gravel Sand <br />5.1 Incidental commoditie(s) to be mined: <br />3. / Ibs/Tons/vr <br />1. - 16sfI'ons/vr <br />4. / IbslI'ons/vr <br />2. / 16slTons/vr <br />S. / lbs/Tons/vr <br />5.2 Anricipatedepduseofprimarycomrnoditie(s)tobemined: Construction Aooreoates <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: No incidental commodities produced <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />