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°' MAR 3 1 ',;, I TOTE OF COLORADO <br />DIVISION OF MINERALS AND GEOL ' <br />Department of Natural Resources ~E <br />131 3 Sherman 51., Room 215 -~Cf (~(~~IL~ ~~-Ai-'Jl- <br />Denver, Colorado 80203 Q{~.t ~ p O L OI Ro.A D O <br />Phone: (303) 8663567 CONSTRUCTION hIATERiAiS M I N FORA L $ <br />F.V(: 13031932A 106 REGULAR (112)OPERATION G E-O L O G Y <br />RECLAMATIONPERhIITAPPLICATIONFORM IEECUnArION nININc <br />SAhFIY~EC IENCf <br />Bill Qwens <br />CHECK 4NE: There V a FYIe Number Already Aaaigned to this Operation covemor <br />Russell GeoBe <br />Permit # ~- 9 8- O 1 9_ (Please reference the file number etmenUy assigned to this operation) EaeNfive oo-eczor <br />_ New Application (Rule 1.4.5) _ Amendment Application (Bolo I.10) Ronald W. Grtany <br />DlvisVOn DiEecEOr <br />_~ ConVenlOn Applll.BilOn (Rllle 1.1 I) Natural Resource Trustee <br />Permit N ~-,_9 @_- O 1 9 ._ (ado for Amendmeota and Convanbns of odsUn6 permits) <br />The application for a Coostrvation MateriaLv Regular 112 Operation Reclamation Permit contains three major pans: (1) the application form, <br />(2) Exhibits A-S, Addwdum 1, a~ sections of Exhibit 6.5 (Geotecbnical Stability Exhibit; and (3) the application fee. When you submit yoEa <br />application, be sun to include one (1) complete sivned and aotatued ORIGINAL and one (1) Dopy of the oomplded applic~m faro, twro (2) <br />copies of Exhtbits A-S, Addenduat I, appropriate seditrns Of 6.5 (Gootoohnical Stability Exhibit, and a check for the application fa described <br />undo Section (4) below. Exhibits sltotild j~ be boned or;n a 3-ring binde, maps sltotild be folded to 8 12' X ] l " or 8 1 r2" X 14" size. To <br />~ Pr& Please provide the information in the format and ceder described in tlris form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, In the apace provided, ~yj, hrformatloa requeated below. <br />OpptkanUoceratororcomoanvname(nametobeaaedonosrmitl:Thomas E. Curry DSA Grand Gravel <br />I. I Type of organization (corporation, partnership, etc.): I n d i v i d u a l f a m i l y o wn e d <br />1.2 I.R S. Tax ID. No. or Social Security Nt~ber: <br />2. Oceratbnname(Oit.mhreorauenamel: Grand Gravel <br />3. Permuted acreave (new or e~atlna altel: `a.i 9.60 ~~~ acres <br />3.1 Change in acreage (+) 9 . 5 7 any <br />3.2 Total acreage in Permit area 1 9 . 3 7 aka <br />4. ~: <br />4.1 Ncw Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 Operation (set by statute) <br />5. Primary commodltie(el to Ire tnlne~: Grave 1 <br />5.1 Inadmtal commoditie(s) iQ be mined: 1. None . lbs/fOns/vr 2. <br />S2.344.00 application fee <br />52.906.00 quarry application <br />51.938.00 amendment fee <br />52.344,00 conversion fee <br />3. / ]bs/1'ons/yr 4. / lbs/fons/yr 5. / lbs/Iorrs/vr <br />5.2 Anticipated wd trse of primary commoditie(s) to be mined: A r e a Demand o r 2 0 year s <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: Non e <br />pffice of <br />aaaaaa~ <br />Office of <br />Colorado <br />