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<br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FA)(: (3031 832-8106 <br /> <br />STATE OF COLORADO <br />RE(:EIVEL"i <br />NOV 0 4 1.9.96 <br />CONSTRIICTION NATSRIIImaieion ut ~.,u,drnlp a laomoyy <br />RECiIILAR OPERATION (112 ) <br />RECLAMATION PSRNIT APPLICATION FORK <br />I~~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Roy Romer <br />Governor <br />lames 5. L«hhead <br />Executive Director <br />Michael 8. Long <br />Division Director <br />CAECR ONE: Nev Application (Rule 1.4.5) X A~endmeat Application (Rule 1.10) <br />Conversioa Application (Rule 1.11) <br />Permit # ~-~~_-1 ;1 -_ (provide for Asendraeats and Coaversioas of <br />existing permits) <br />The application for a Regular 112 Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical <br />Stability Exhibit; and (3) the application fee. When you submit your application, be sure to <br />include one (1) complete sioned and notarized IVORY ORIGINAL and four (4) copies of the completed <br />ivo application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 <br />(Geotechnical Stability Exhibit, and a check for the application fee described under Section (4) <br />below. Exhibits should not be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" <br />or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and <br />order described in this form. <br />--------------------------------------------------------------------------------------------- <br />--------------------------------------------------------------------------------------------- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly in the apace provided the information requested below. <br />1. A>ovlicant/operator or company name (name to be used on permit): <br /> R. E. P(nNf;S rcavSTRllrrrnN rrxlpn~v <br /> 1.1 Type of organization (corporation, partnership, etc.): <br /> 1.2 I.R.S. Tax Z.D. No. or Social Security Number: Rd-ncye~ni <br />2. operation name (pit, mine or site name): Elimort Pit H3 <br />3. Permitted acreaoe (new or existing'site) i;~ permitted acres <br /> 3.1 Change in acreage (+ or -) + 471 acres <br /> 3.2 Total acreage in Permit area 521 acres <br />4. Fees• <br /> 4.1 New Application 51.875.00 application fee <br /> 4.2 New quarry Application 52.325.00 quarry application <br /> 4.3 Milling Application (Non-OMO) 53,100.00 milling application <br /> 4.4 Amendment Pee 51,550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) 51,875.00 conversion fee <br />5. Primary commoditiefst to be mined: ,Sand (;T-a 1rP1 <br /> 5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr <br /> 2. / lbs/Tons/vr 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: ('nnctnirri nn nhro,-; alc <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />