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<br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depannunl rn Nawral Resources <br />I } I S Sherman SL. Room 215 <br />Denver, Colorado 80203 <br />Phone ~. 130 ] 1 866-3 S 6: <br />FAx: 17031 872-8106 <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERf11IT APPLICATION FORM <br />~~ <br />DIVISION O . <br />MINERAL <br />6c <br />GEOLOGti <br />R E C L A M A T I O N <br />MINING•SAFETY <br />Bill Ovens <br />Governor <br />Greg E bValcher <br />Eaecmwe DireUOr <br />CHECK ONE: R There is a File Number Already Assigned to this Operation Michael B Lonq <br />Permit # M Drvb~on U~reclor <br />-ZL-211 -_ (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) ~ Amendment Application (Rule I.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - 77 - 211 (provide for Amendments and Conversions of existing permits) <br />The application for a Consvuction Materials Regular 112 Operation Reclamation Permit contains three major pate: (1) the application <br />form; (2) Exhibits A-S, Addendum I, 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 signed and notarized IVORY ORIGINAL and four (4) copies of the <br />completed Ivory application form, five (5) copies of Exhibits A-S, Addendum I, appropriate sections of 6.5 (Geotechnical Stability Exhibit, <br />and a check for the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should <br />be folded to 8 112" X 1 I" or 8 I/2" X 14" size. To expedite processing, please provide the information in the folTnat and order described <br />in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, io the space provided, ali information described below. <br />Apalicant/ooera[or or company name (name to be used on aermit): Castle Concrete Company <br />I.I Type of organization (corporation, partnership, etc.): Corporation <br />2. <br />3. <br />].2 I.R.S. Tax I.D. No. or Social Security Number: <br />Operation name foil, mine or site name): Pikeview Quarry <br />Permitted acreage f new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. <br />Fees <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Eee <br />4.5 Conversion to 112 operation (set by statute) <br />5. <br />Primarvcotttmoditie(s)tobemined: Limestone, Dolomite, Granite <br />210 permitted acres <br />26 acres <br />236 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 />5. i Incidental commoditie(s) to be mined: I. / Ibs/fons/vr 2. / Ibs/i'ons/yr 3. / Ibs/fons/yr <br />4. / Ibs/I'ons/vr 5. / Ibs/i'ons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction A„gre~ates <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />