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~~~~~ of coLOr~o <br />DIVISION OF MINERALS AND GEOtt~,~CEIV E® ~~, <br />Department of Natural Resources <br />1313 Sherman A., Room ? 15 -r <br />Denver, Colorado x0203 T q l M1M D I V I S I O N O f <br />Plwne: (303) 866.3561 OC L LYW MINERAL S <br />FAX: {303)x32-8106 ~ $~ <br />Division of Minerals and GatllogY G E O L O G Y <br />CONSTRUCTION MATERIALS M EN I N GMs A FI ° r <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM 8i1f °"'""' <br />. Governor <br />Cren E. Walther <br />' Executive DlreftIX <br />CHECK ONE: _ New Application (Rule 1.45) _ Amendment Appliru6on (Rule 1.10~"ha`I a. u>"a <br />ivision Director <br />~_ Convenloa Application (RWe 1.11) <br />Permit k _ jam- 1987 - 024 -_ (provide for Amwdments and Coaversiooa of existing permits) <br />The application for a Corrstrucden Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exlubies A-S, Addendum 1, auy sections ofExhibit6S (Geotechnical Stability Exhibit and (3) the application See. Wheu you submit your <br />application, be sure to include one (1) comn-tste sinned and noterimd IVORY ORIGINAL and four (4) copies of the complaed I-CIY <br />epplieadon form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6S (Geotechnical Stability Exhibit, and a check for <br />the applicadon fee descnbed ender Section (4) bebw. Exhibits should ND~ be bound or in a 3-ring binder; maps should be folded to <br />8 1!2" X 11" or 8 l/2" X 14" size. To expedite processing, please provide the information m the format and order desefibed in thffi form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, to the space provhdcd; ~, informadoa regaated below. <br />1. Aoo~rsadooerator or eomoanv name (Dame to be used oa,.Qersnkl: Western Gravel, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corooratior2 <br />1.2 IRS. Tall ID. Na. or Social SeentiryNumber. <br />2. Ooen tloo name (nit. mine or ske Hamel: Cwev Gravel Pit #3 <br /> <br />3. Per med acrn~e fnew.~ esiatiaa sitel: 9.9 permitted acres <br />3. t Change iu acreage (+) 40.83 gyres <br />32 Tocai acreage is Permit area 50.73 acros <br />4. Fig: <br />4.l Now Application application fee <br />4.2 New Quarry Application quarry application <br />43 Milling Application (Non-DMO) milling application <br />4.4 Amendment Fee amendment fee <br />4.5 Conversion to 112 operation (set by statute) 234 conversion fee <br />3. Primgry commodkietsl to be mined: Sand Gravel - <br />5.1 hncidetrtal wmmoditie(s) to be mined: 1. Ibslfons/vr <br />3. / IbslConsJvr 4. ! Ibs,Torts/vr <br />2. ! IbslTooslvr <br />5. ! Ibsfl'ons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined:. Construcuction appregate, concrete ap4repate <br />5.3 Anticipated end use of incidental wmmoditia(s) to be mined: <br />