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~~cm ~, ~ <br />StD~I~ / RECEIVED <br />~M-2/ <br />MAR 0 4 2005 ~ <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION pirlision of Minerals and Geology <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: XX There is a File Number Already Assigned to this Operation <br />Permit # M - 19 - 76 - 007 (Please reference the file number curzently assigned to this operation) <br />New Application (Rule 1.4.5) % Amendment Application (Rule I.10) <br />_ Conversion Application (Rule 1.11) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 65 (Geotechnica] Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete si¢ned and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S,Addendum I, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a 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 1 /2" X 11" 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 INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />Permit # M - 19 - 76 - 007 (provide for Amendments and Conversions of existing permits) <br />2. <br />3 <br />Applicant/opera[or or company name (name [o be used on permit): Continental Materials Corporation / <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />Operation name (pit, mine or site name): DANIELS SAND PIT #2 <br />Permitted acreage (new or existing site): <br />375.5 permitted acres <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 (se[ by statute) <br />5. Primary commoditie(s) to be mined: SAND <br />5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr <br />3. / Ibs/Tons/vr 4. / ]bs/Tons/vr <br />62.0 acres <br />437.5 acres <br />$2,344.00 application fee <br />$2,906.00 quarry application <br />$1,938.00 amendment fee <br />$2,344.00 conversion fee <br />2. / Ibs/Tons/vr <br />5. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction Aeereeate <br />5.3 Anticipated end use of incidental commoditie(s) m be mined: <br />