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:. ' <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources {~ (~ <br />7313 Sherman St., Room 215 ~ ' • ~CEI VE O L D O <br />Denver, Colorado 80203 D I V r ION O F <br />Phone: (303) 866-3567 _. CONSTRIICTION MATERIAIS JqN ~ ~' • M FORA L s <br />PAX: (303) 832.8106 REGULAR (112) OPERATION ~ E O L O G Y <br />REC LAMATION•MIN ING <br />RECLAMATIONPERMITAPPLICATIONFORl~risionolMineralsan InMfETT•$GIENCE <br />Bill Owens ' <br />'.HECK ONE: ~_ Tbere G a File Number Already Assigned to tbk Operation covemor <br />Russell Geolge <br />Permit # Irv -_ _-_ (Please n:ference the file number cutrentiy assigned to 's operation) E>~ecueve Dilecmr <br />_ New Application (Rule 1.4.5) _~ Amendment Applicati (Rule ].10) RGnald w. Cattany <br />Division Dinsctor <br />!Conversion Application (Rule 1.11) Natural Resource rrastee <br />Permit # ~_- iq S L~7 7 -_ (provide far Amendments and Conyers of pdstiag Permits) <br />'he application far a Construction Materials Regular 112 Operation ReclamatianP contains three majorpatts: (1) the application form; <br />2) Exhibits A-S, Addendum I, any sections ofExhiMt 6.5 (Geotecbnicel Stabrltty 'bit; and (3) the applicarionfee. Whenyou sulomityour <br />pplicalion, be sure to include one (1) e[e ' ed mmd G and one (1) copy of the completed app&catimform, two (2) <br />opiesafExlubitsA-S,Addendtffi1,apgropriatesectionsof6S(Geotechni tabitityE>wit,andacheckfortheapplicationfeedescnbed <br />ender Section (4) below. Exhibits should NOS be botmd orin a 3-ringb" , maps shouldbe folded to 8 I!2" X 11"or 81/2" X 14" size. To <br />xP~u P~s~g. Please provide the information in the format and described is this form. <br />GENERAL OPERA ON INFORMATION <br />Type or pEi~ clearly, In the apace p vided, Irk. tntormatlou requested below. <br />Uo eratororrnm name sme a on ermit: LOUtcON ..1 BROS. SToAE <ompaNy <br />1.1 Typeafotganizeflon(corporation,pattn ' ,eteJ: 5 toRPoRaTan! <br />1.2 I.R.S. Tax ID. No. or Social Security N bar. O -1 t -1 4 5 2 - o o O <br />! ra nuame eoraRenam ~£GCN h~~~~ QUaRRI£S <br />i. 1 ermined acres a ew or eiis ite : 2 5 • permitted acres / <br />~ 3.1 Change in acreage C+) ~ acres / <br />3.2 Total aracage in Permit -__ 190 acres , <br />~~ <br />4.1 New Application $2.344.00 application fee <br />4.2 New Quarry A lication $2.906.00 quarry application <br />4.4 Amendment $1.938.00 amendment fee <br />4.5 Conversi 112 operation (set by statute) $2344.00 conversion fee <br /> ce oditie s to be mined: ~j.Q~~ <br />5.1 Inci commoditie(s) to be mined: 1. lbs/fons/vr 2. / ib s/I'ons/yr <br /> 3 / ]bs/Tastslvr 4. / lbs/fonsh~r 5. / lb sffons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Qu t ~IJ Inlc> ~ L A nl D Sc_a PE <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />