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TATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RECEIVED <br />Department of Natural Resources <br />1313 Sherman St., Room 21 S - <br />Denver, Colorado 80203 DEC 16 ~ 2002 <br />Phone: (303) 866-3567 , <br />FAX: (303) 832-8106 <br />FILE COPY Division of Minerals and Geology <br />fOR SCANN/NG ;~G~ ~, ° o~~ oN <br />RECLAMATION PEl2hIIT APPLICATION FORM <br />CHECK ONE: _~_ There is a FDe Number Already Assigned to this Operation <br />Permit # M -_ 1 ~-~-005 (Please reference the file nmmber currently assigned to this operation) <br />New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - 19 _ 99 _005 (side for Amendments and Conversions of existing permits) <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAFETY <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Executive Director <br />Ronald W. Cattany <br />Acting Division Director <br />The applicaion for a Construction Materials Regular 112 Operation Reclamation Pest contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendnm 1, arty sections of Exhibit 6.5 (Geoteclmical Stability Exhibit and (3) the application fee. When you submit your <br />application, be sure to include arse (1) conmlete siffied and notarized IVORY ORIGINAL and one (1) copy of the completed III application <br />form, two (2) copies ofExbrbits A-S, Addendum 1, appropriate sections of 6.5 (Geotec]mical Stability Exlnbit, and a check for the application <br />fee descnbed colder Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps shoild be folded to 8 12" X 11" or 8 1/2" <br />X 14" size. To expedite processing, please provide the information in the format avd order descnbedm this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, m the apace provided, AI,L information requested below. <br />1. Aoulicant/ocerator or comnany name (name to be lead on cermith: All Rifie Paving & Redl~Mix, Inc . <br />].1 Type of organization (corporation, partnership, etc.): Corporation <br />].2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Oneration name (Dit• mine or site Hamel: North River Pit <br />3. Permitted acreage (new or esistine sitel: 275.45 permitted acres <br />31 Change in acreage (+) 0 acres <br />3.2 Total acreage i.-rPermii area 275.45 acres <br />4. Fees <br />4.1 New Application $2.344.00 application fee <br />4.2 New Quarry Application $2.906.00 quarry application <br />4.4 AmendmentFee $1938.D0 amendmenrfee <br />4.~ Conversion to 112 operation (se[ by stahrte) $2,344.00 conversion fee <br /> sand gravel construction fill <br />~. Primary commodrfie(sl to be mined: <br />5.1 Incidental commoditie(s) to be mined: 1. [bs/Tonsivr 2. ! IbslTons/vr <br /> 3. / lbs/Toas/vr 4. / Ibs/Tons/vr 5. 1 lbs/Tonslvr <br />5.2 Anticipated end use of primarycommoditie(s)tobemined:construction aggregate <br />5.3 Anticipated end nee of incidental commoditie(s) to be mined: none <br />