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TATE OF COLORADO <br />DIVISION Of MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman S[., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />FILE COPY <br />RECEIVED <br />DEC 18 2002 <br />~VED <br />lAN 0 2 20D3 <br />Dtvision d Minerals and GeoloDY <br />Division of Minerals and Geology <br />FOR SCANNING ;~~~ ~l ° o'~~ oN <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: _~ There is a FDe Number Already Assigned to this Operation <br />Permit # M -_ ~Q-2~-005 (Please reference the fde nmmber currently assigned m this operation) <br />`New Application (Rule 1.4.5) _ X Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - 19 _ 99 _ 005 (provide for Amendments and Conversions of existing permits) <br />D I V 1 5 I O N O F <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINtNG•SAFETY <br />Bill Owens <br />Gavemor <br />Greg E Watcher <br />Executive Director <br />Ronald W. Cottony <br />Acting Division Director <br />The application fot a Construction Materials Regular 112 Operation Reclamation Perrot contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, airy sections of Exhibit 6.5 (lxotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sme to include one (1) complete sinned aad notarized IVORY ORIGINAL and one (I) copy of the completed ITt~ application <br />form, two (2) copies ofExhibits A-S, Addendltm 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application <br />fee descnbed ender Section (4) below. Exhibits should NOT be hotrod or in a 3-ring binder; maps should be folded to S 1/2" X 11" or S 1/2" <br />X 14" size. To expedite processing, please provide the information in the format and order descnbed in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL informatio¢ requested below. <br />Aoplicant/ocerator or comnanv name (name to be used on oermitl: All Rifie Paving',FF Redi-Mix, Inc . <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.RS. Talc I.D. No. or Social Security Number <br />2. ODeration name loft, mi¢e or sfte Hamel: North River Pit <br />3.- Permitted acreage (aew or esistine sire): 2 75 .45 pzrn,iazd acres <br />3.1 Change in acreage (+) ~ ~ 0 acres <br />3.2 Tota! acreaoe v1 Peru :erea 275.45 acre:; <br />4. Fees: <br />4.1 New Application $2 344A0 application fee <br />4.2 New Quarry Application $2,906.00 quarry application <br />4.4 Amendment Fee $1.938.00 amendaeat fex <br />45 Conversion to 112 operation (set by statute) $2,314.00 co¢versicn fee <br /> sand 5ravel construction fill <br />~. Primary commoditie(sl to be mined: <br />5.1 Incidzntal commoditie(s) to be mined: 1. - Ibs/Tons/vr 2. / Ibs/t'onslvT <br /> 3. / 1bslTons/vr 4. / Ibslfons/yr 5. ! lbs/TonsFr. <br />5.2 Anticipated end use of primary commoditie(s)tobemined:construction aggregate <br />5.3 Anticipated end Ilse of incidental commoditie(s) to be mined: none <br />