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E OF COLORAD:; <br />~~ DIVISION OF MINERALS AND GEOLOGY ~t V C~ ~ ~~ ~t CE' VED -'' %~: ~"`fi'r}^" <br />~ Department of Natural Resources -~~~µ~ <br />NOV 10 2003 AUG 2 , 2003 ~°`;'r <br />1373 Sherman SL, RroyoQmd 215 7 ~ -~ ~° <br />~~'~l~_L COPY D[VIS[ON:OF <br />Phone: (303) MINERAL S <br />FAX- (303) 83 -8 Division at Minerals end Oeologypiyisian of Minerals and & <br />fOR SCANN/NG Geology G E O L_ O G Y <br />RECLAMATION <br />CONSTRUCTION IVIATEBIALS M I N I N c• s A F E r Y <br />REGIILAIL (112) OPERATION <br />eat o~mr <br />RECLAMATION PElUYII'i' APPLICATION FORM Governor <br />Greg E. Walther <br />~~ Executive Director <br />CHECK ONE:.. X There is'a F,7e Number Already Assin~ned to this Operation <br />Ronald W. Catiany <br />Permit # M -Z~- O S 6-_ (Please reference the 51e nmmber c,urently assigned to this operation) '~'"g Di~i:io" Dire"tor <br />New Applicafion (R»le 1.4.5) X Amendmeat App&cafioa (,°,ye 1.10) <br />Conversion Application (Rule I.11) <br />Permd # M - 78 - 056 -_ (providzforAmendmenta and Conversions of existing permits) <br />The application far a Constmction Materials Regtdar 112 Cperation Reclamation Pemrit contains three majorparts: (1) the application form; <br />(2) Exhubits A-S, Addendlnn 1, any sections of Exhtbit 65 (Geoteclmical Stability Exhibit; aad (3) the application fee. When yon submit your <br />application, be sure to include one (1) complete sieoed and notarized IVORY ORIGINAL and one (1) copy of the completed IvO.Y application <br />form, two (2) copies of Exhrbits A-S, Addendum 1, appropriate sections of 6.5 (Creotechnical Stability Exhibit, and a check for the application <br />fce described under Section (4) below. F_xhibits should NOT be bound or in a 3-rig binder; maps shoul3 be folded to 8 112" X 11" or 8 1/2" <br />X 14" size. To cspedite processing, please provide the information in the format and order described in this form. <br />GENERAL Ol?II2ATION INFORMATION <br />Type or print clearly, in the space provided, AI,L information requested below. <br />I. Applicant/operator orrnmpanvname(nametobeusedonpermit): Varna Companies, lnc. <br />1.1 Type oforga*izalion(corporatien,parmetship,etc.): Corporation <br />1.2 IRS. Tax ID. No. or Social SeaaityNttmber. <br />Durham Sand & Gravel Pit <br />/E Oocntion name (nit, mine or site name): Auxham---$eseu~'ee-~Reeave~'~I-g-~a~xxA-$eyeieptttea-t-P-re-jeef <br />3. Permitted screa~e {new or exlstiar site): 229. S9 pe.-witted acres <br />3.1 Chaage in acreagz (+) 0.00 acres <br />32 Total acreageictPermita.~a 229.89 acres <br />4. Fees <br />4.1 New Application 52.344.00 application fee <br />4.2 New Quarry Application 52.906.00 goazry application <br />4.4 Amendment Fee.... ........................ <br />• ..... 51938.D0 amendment fez <br />4.i Conversion to 112 operation (set by statute) 52.344.00 conversion fee <br />~. Prim arveorntaodifie(s)tabemined: sand Kravel other earth product s <br />5.1 Incidental commoditie(s) to be mined: 1. - Ibs(fons/vr 2. / IbslfonsPor <br /> 3. / Ibs/fons/vr 4. / lbs/fons/vr 5. { Ibs/I'ons/vr <br />5.2 Anticipated end ttse of primary commoditie(s) to be mined: construction <br />5.3 Anticipated end use of incidental mss) to be mined: <br />