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<br />STATE OF COLORADO <br />DIVISION OF MINERALS AND <br />Department of Natural Resources <br />t373 Sherman St, Room 275 RECEQ VED <br />Denver, Colorado 80203 CONSTRUCTION MATERIALS <br />Phone: (303) 8663567 <br />F~~3~B3~I®~~/ REGULAR (112)OPERATION APR 27 2C04-~ <br />,, LL GG yy i jRR~~~CLAMATION PERMIT APPLICATION FObtM <br />~~~ w w w s.~l~~ Ivisian of Minerals & Geology <br />CHECK ONE: X There is a File Number Already Assigned to this Operation <br />Petmit # M -_ _ _ (Please reference the file number currently assigned to this operation) <br />_ New Application (Rule 1.4,5) _ Amendment Application (Rule 1.I0) <br />~_ Converoion Application (Rlile 1.11) <br />Permit # M - ~ n nn _ n s ~~ (provide far Amendmeets and Conversans of e~:isting permits) <br />COLORADO <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />0.ECLANATION•NIN ING <br />SAfETY•SCIENCE <br />alli Owen$ <br />Governor <br />Greg E. Wald,er <br />Executive DireROr <br />Ronald W. Caaany <br />Division Director <br />Natural Resource Trustee <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (i) the application faun; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotecllnical Stability Exhibit; and (3) the application fee. When you submityour <br />application, be sure [o irtclude one {]) complete singed and notarized IVORY ORIGINAL and one (1) copy of the L:ontpleted I~ application <br />form, two (2) copies ofExhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application <br />fee described under Section (4}below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8 12" X 11"or 812" X <br />14" size. To expedite processing, please provide the information in the format and order described in this fowl. <br />GENERAL OPERATION INFORMATION <br />Type or grist clearly, in the apace provided, ALL information requested below. <br />1. AonlicanUooerator or rnmoaov name (name to be used on Dermkl: r.a ~ A n ; mac r'n„n t., / <br />I.I Type of organization(corporatiogpartners(rip,etc.): County Government <br />1.2 LRS. Tax LD. No, or Social Secttriry Number: <br />2. ODeration name (oit. mine or site Hamel: Ca s t i 11 o P i t <br />3. Permitted acrea¢e frrew or existing site): <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 />4.5 Conversion to 112 operation (set by statute) <br />5. Primary' commoditie(s) to be mined: n..-~=vez~ e <br />5.1 Incidental commoditie(s) [o be mined: 1, i i.a iai' "i ~ihzdl'ons/kr <br />3. ! lbs/fonslvr 4. / Ibs/I'ons/k <br />9 9 (L_ perDlitted acres <br />8 _ 8 4 acres <br />~ Q~_ acres <br />$2.344.00 application fee <br />$2 9l)Ei.00 quarry application <br />$1.938.00 amendment fee <br />$2344.00 conversion fee <br />2. ! Ibs/fonshr <br />5. / lbs/Cons/vr <br />5.2 Anticipated end use of primarycommoditie(s)tobemined: road base for County roads <br />5.3 Anticipa[edendttseofinciden[alcomtnoditie(s)tobemined: rip rap at structures/wash <br />pp1Ce ~ Office of Colorado <br />Mined Land Reclamation ~ Aaive and Inactive Mines Geological Survey <br />