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~~~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY ) <br />Department of Natural Resources ~ t- (' ~!- i ~ r ~ ~ J <br />] 373 Shemtan St., Room 215 <br />Denver, Colorado 80203 ~L(~I ~ L wu5 <br />Phone: (303) 866-3567 <br />FAX; (303)832-8106 FILE COPY <br />Oiuision of tdinetafs & Geology Q (~/f /~ <br />CONSTRIICTIONMATEBIALS ~®ss ~7(!{~~ <br />REGIILAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />BE LLA MATION <br />G•SAFETY <br />Bill Owens <br />Governor <br />Greg E. Walther <br />EzecuCrve Director <br />_~ There b a F7e NmnbeyAlready Assigned to this Operation Ronald w. catw,y <br />Pemvt # M -1 9 -8 0 -1 9 3 (Please reference the ftle mmil>er cmrentiy assigced to this operation) Acting Division Diecor <br />New Application (Role 1.4.5) ~_ Amendment Application (Role 1.10) <br />_ Converaion Applicatien (Role 1.11) <br />Permit # M - 1 9 _ 8 0 _ 1 9 3 ~,tde for Am®d®eats and Conversions of existing permfis) <br />~ applicationfar a CHnsnnction Materials Regular 112 Operation Rechmiation Penmt contains ihtee majorparts: {1) the s~lication form; <br />) Exhrbits A-S, Addendmm 1, auy sections ofExhtbii 65 (Geotechvical Stabtb'ty Exhrb~ and (3) the application fee. When yon submit your <br />placation, be sme to molnde one (1) aomHk~ siEned and notamed IVORY ORIGINAL and one (1) copy ofthe ce~leted I~ application <br />m, two (2) copies of Exhibits A-S, Addendmn I, appropriate swoons of 6.5 (Geotechmcal Stability Exhibit, and a check for the application <br />described ender Section (4) below. Exhibits show NOT be bond or in a 3-ring binder, maps should be folded >0 812" X i l" or 8 12" <br />14" size. To a prt>cessittg, Please provide the info>matien in the formnt and order descnbed in this tonm. <br />Lir;N t:.Nwi. UYY:1{A 11UN iNl'~Ul{MA11VN <br />Type or print clearly, in the apace provided, ALL information requested below. <br />Rocky Mountain Materials / <br />1. AHHliranUooetator or COmHBnY name (name to be need on Hermit): R A ~h a 1 t- , I NC . <br />1.1 Type oforgan:zetion(oarporation,partnership,ete.): Corporation <br />1.2 I12.S. Tax I.D. No. or Social Security Number: <br />2. Oneration name (Hit, mine or site name): <br />3. Permitted acrease (new or e~stint[ site): <br />3.1 Change in acreage (+) <br />3.2 Total acreaee in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4S Conversion to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: Sand Gravel <br />_ 5.1 Incidental commoditie(s) to be mined: 1. Ibs/fons/vr <br />3. / Ibs/fons/vr 4. / lbs(1'onslvr <br />d 1 '3 7 permitted acres <br />253.63 acres <br />295-00 acres <br />$2.344.00 application fee <br />$2,906.00 tpimxp application <br />$1.938.00 amendment fee <br />$2 344.00 conversion fee <br />2, / Ibslfons/vr <br />5. / ibs/Tons/yr <br />5.2 Anticipated end use of primarycommoditie(s)tobemined:Asphalt, concrete, landscape materials. <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />