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RECEIV TE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY / i/„~y~~ <br />Depanment of Natural Resources Division of Minerals anAGeology // //~~''// <br />t 3t 3 Sherman st., Room 2t 5 C O L O RA D O <br />Denver, Colorado 80203 o t v t s t o N o f <br />Phone: t303) 866.3567 CONSTRUCTION MATERIALS MINERAL S <br />FAX: (303) 832-8106 REGULAR (112) OPERATION ~ G E O L O G Y <br />RECLAMATION PERMIT APPLICATION FORM EEfAfETY•fOENCENG <br />Bill Owens <br />Governor <br />CHECK ONF.: XXX There is a File Number lresdy Assigned to thG Operation R~s:en eeorge <br />Petit # M - 19 - 88 -044 (Please reference the file ntunber currently assigned to this operation) Ezecvtive Director <br />New A lication Rule 1.4.5 XX Amendment A lication (Rule 1.10 Ra,ald w. Cottony <br />PP ( ) PP ) Division Director <br />ConverainnApplication(Rtde ].I1) NaturalResourmTrustee <br />Permit # M -~ 9 - 88 - 044 (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Opera[ionReclamation Permit contains three major parts: (1) [he application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability F..xhihit; and (3) the application fee. When you submit your <br />application, he sure to include one (J) com4lete si mad and notarized ORIGINAL and one (1) copy of the wmple[ed application form, Iwo {2) <br />copies of Exhibits A-S, Addendum 1, appropriate sections of6.5 (Geotechnical Stability Exhibit, and a check for the application fee described <br />under Section (4) below. kixhihits should NOT be bound or at a 3-ring binder; maps should be folded to 8 1 /2" X 11" or 8 1 /2" X 14" sits. To <br />expedite processing, please provide [he information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />1. Aonlicant/ooerator or comoanvname (name to be used on cermitl: Schmidt Construction Company 1~ <br />1.1 Type of organization (corporation, paztnership, etc.): Corporation <br />2. Ooeratan name (oiL mane or site name): Coat Creek Resources <br />3. Permitted acreatce (new or eaistina skel: <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.~ Convenion to 1 12 operation (se[ by statute) <br />1110 permitted acres <br />1650 acres <br />2760 acres <br />$2.344.00 application fee <br />$2.906.00 quarry application <br />~~ $1.938.00 amendment fee <br />$2.344.00 conversion fee <br />~. Priman~ rnmroaditie(s) to be mined: Sand <br />5.1 Inoidental commoditie(s) to be mined: 1. Ibsll ons/vr <br />3. / ]bslfons/vr 4. / lbs/Tons/vr <br />2. / Ibs/1'onshT <br />5. / Ibs/fons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction aaereeates, masonry sand, pipe bedding, etc. <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 />