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STATE OF COI~ORADC <br />DIVISION Of RECLAMATION, MINING AND SAFETY <br />Oepartrnenr of Natural Resources 01~ ~ ~ 9007 <br />1313 Sherman St., Room 275 YV L I <br />Denver, Colorado 80203 Division of Reelam ~~Q L O R A D O <br />N I S I O N O F <br />Phone: (303) 6663567 CONSTRUCTION MA'fF.RIALS Mini"rig and Safe CLAMATION <br />FAx: (3031 s3zata6 REGULAR (112) OPERATION M 1 N I NG <br />-&- <br />RECLAMATLON PERMIT' APPLICATION FOIhM SAFETY <br />aiu ow-ens <br />Covemor <br />CHECK ONE: XX There is a File Number Already Assigned to this Operation Russ~n eenrge <br />Permit # M - 19 _ 82 -1? 2 (Please reference the file number currently assigned to this opera)rdit}`n'~ Dir~lor <br />Ronald W. Cattany <br />_ New Application (Rule 1.4.5) XX Amendment Application (Rule 1.10) Division Dlrettor <br />_ Conversion Application (Rule l.I t) Natural Resource Trustee <br />Permit # H - 19 - 82 - 112 (provide for Amendments and Conversions of existing permits) <br />The application for a Constmc[ion Materials Regulaz 1 l2 Operation Reclamation Pemilt 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 (1) complete sued and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies ofExhibits A-S, Addenduun 1, appropriate sections of 6.5 (Geotechnicai Stability Exhibit, ands check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 i /2" X 1 I" or 8 1/2" X 14"size. To expedite processing, please provide [he information in the format and order described in this form <br />GENERAL OPERATION [NFURMATION <br />or print clearly, in the space provided, Ai,I, information requested below. <br />I. Aoplicantfooerator or coronanv name (name [o be used on Detroit): Rirlr '.'!''=uni\\:r:~^ ''_ ^ __ ' / <br />1.1 Type of organization (corporation, partnership, etc.): 'Lt£^ ~J7t'd~a~A>{•ti~~') (J <br />2. Operation name (oit, mine or site name): Miller Gravel Pit _~___ y <br />3. Permitted acreaee (new or existine site): according to DRMS data 61 _ permitted acres <br />3.1 Change in acreage (+) (note: some permit documents show some 69.2 acres <br /> small differences in the actual acreage of <br />3.2 'total acreage in Permit area the current permit, but the amended 130.2 acres <br /> permit will be 130.2 acres) <br />4. Fees: <br />4.1 New Application $2,344.00 application fee <br />4.2 New Quarry Application 2 906.00 quarry application <br />4.4 Amendment Fee ~ $1,938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute} ~ 344.00 conversion fee <br />5. Printarv commoditie(s) to be mined: sand gravel <br />5.1 Incidental commoditie(s) [o be mined: I. - _ Ibs~'fons/yr 2. / _ , lbs/I'ons/~r <br /> 3. ,__ / _______. Ibs/Tonsivr 4. _,_ 1 Ibs/Tons/vr 5. / Ihs/Tons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: _ construction atlgr~ate _i____,_~____ <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: __none __,_,_,_„________._.______,_._-_____ <br />Office of Ofice of <br />Mined Land Redamadon _ Alive and Inactive Mines <br />