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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVtu <br />Department of Natural Resources ~ g+12001 ~~~ <br />7313 Sherman St., Room 215 O L O R A D O <br />Denver, Colorado 80203 p( R6CIsma ~i' v t s r o rr o r <br />Phone: (303) 866-3567 CONSTRUCTION MA'I'F.RIALS ~~~ and Sato RECLAMATION <br />FAX: (303) 832-8106 Mmtn9 M I N I N G <br />REGULAR (112) OPERATION _ & _ <br />RF,CLAMATION PERMIT' APPLICATION FORM SAFETY <br />8rtl Owens <br />Govemur <br />CFIECK ONIi: / There is a Filc Number AlrcaUy Assigned to this Operation <br />Russell Gmrpe <br />Permit # tYl -_-_ ^ (Please reference the file number currently assigned to this operaFffift~'°~ o'""r"` <br />Ronald w. (attany <br />_ New Application (Rule L4.5) / Amendment Application (Rule I.IO) ofvision ofrector <br />COttvMSiOn Application (Rule 1.11) Natural Resource Trustee <br />Permit ik bf - 1983 - 102 ` (provide for Amendments and Conversions of existing permits) <br />71te application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (I) cotttplete sieved and notarized ORIGINAL, and one (1) copy of [he completed <br />application form, hvo (2) copies ofFixhibi[s A-S, Addendum 1, appropriate sections of 6.5 (Geoteebnical Stability Exhibit, anda cheek for <br />the application fee described under Section (4) below. $xhibils should NOT be bound or in a 3-ring binde[; maps should be folded to <br />8 1/2" X [ 1" or 8 1/2" X 14"size. To expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION h~IFORMATFON <br />Type or print clearly, in the space provided, ALI, iotormation requested below. <br />L Aoolicant/ooerator or comoanv name tname to be used on permit): Thn~mncQn Pr ies ___~_____`.__ <br />L 1 'type of organization (corporation, partnership, etc.): <br />2. Operation name (oit, mine or site name): Thompson Resource (AKA Horn Gravel Pit _, <br />3. Permitted acreage (new or existine site?: <br />3.1 Change in acreage (+) <br />3.2 'total acreage in Perini[ area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amcndmenr Fee <br />4.S Conversion to 1 I2 operation (set by statute) <br />5. Primary commoditie(s) tome mined: sand navel_-_ chute _-_ <br />S.I Incidental commoditie(s) [o be mined: t. __.__~,~__lbs(fons/yr <br />3. - i , lbs/Tons/vr 4. _-_ ! Ibs!'I'ons/yT <br />50.50 permitted acres <br />19.62 ~ acres <br />70.12 acres <br />~SAACffi0 application fee <br />~0 quarry application <br />~ 1 938.00 amendrnent fee <br />__~~4t}t911 conversion fee <br />2. _ ! _ Ibsffonsl~r <br />5. _ / Ibslfonsivr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ~nnstm inn material~aekfill material ____ <br />S.3 Anticipated end use of incidental conunoditie(s) to be mined: _i,____,_____ .~_._____,~_ _ <br />OHrce of <br />MinMl Land Reclamation <br />MV# tik <br />Doc Date (if no date <br />Doc Name coy~/~z <br />From DRMS/Other_ <br />To DBMS/Other <br />Type Seq A-r^-~.1 <br />OHlrn of <br />Active and Inactive Mines <br />