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-~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />RECEIVED <br /> <br /> <br />JAN 2 7 2003 ~~~~ COPY <br />fOR SCANNING <br />Division of Minerals and Geology <br />CONSTRUCTION MATEBIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PER]VIIT APPLICATION FORM <br />CHECK ONE: R There is a Fde Number Already Assigned to this Operation <br />Permit # M - 1 9. 9 9 _ 0 0 4 (ply reference the fde number currently assigned to this operation) <br />New Application (Rule 1.4.5) <br />X Amendment Application (Rule 1.10) <br />Conversion Applicatiop (Rule 1.1 I ) <br />Permit # M - 1 -.~- 0 0 4~(pmvide for Amendments and Conversions of existing permits) <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MIN ING•SAFETY <br />Bill Ovrens <br />Governor <br />Greg E. Walther <br />Executive Director <br />Ronald W. Cattany <br />Atting Division Director <br />The application for a Constrncoion Materials Reguhar 112 Opeiation Reclamation Pemrit contains tlms majorpmts: (1) the application form; <br />(2) Exhtbits A-S, Addendlan 1, ffiy sections of Exlnbit 65 (Geotecluaical Stabiity F_lchrbit; and (3) the application fee. When you submit yonr <br />application, be sme to molude one (1) co~lete sieved and notarized IVORY ORIGINAL and one (I) copy of the completed I~ application <br />form, two (2) copies of Exlibits A-S, Addendum 1, appropriate sections of 6.5 (Geoteclmical Stability Exhibit, and a check for the application <br />fee described under Section (4) below. Exlrilr8s shwld NOT Ile bond ~ in a 3-ring binder; maps should Ire folded to 812" X 11" or 8 I/2" <br />X 14" size. To expedite processing, please provide the information in the format and order descnbed in tltis form. <br />GENERAL OP1~2ATION INFORMATION <br />Type or print clearly, hn the space provided, AI,L information requested below. <br />1. AoulicanUoceratororcomoanvname(nametobeusedonlxrmitl: Castle Concrete Company <br />I.1 Type of organization(~ation,partnersltip,etc.): Corporation <br />1.2 I.RS. Tax I.D. No. or Social Security Number: <br />2. Operation name (aiQ mite or site name): <br />Table Mountain Quarry <br />3. Permitted acreage (new or esistinr% shtel: <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 />45 Conversion to 112 operation (set by statute) <br />~. Primarvcommoditie(s)tobemmed: Quartzite <br />5.1 Incidental commoditie(s) to be mined: 1. NONE lbs/Tons/vr <br />3. / Ibs/I'onslvr 4. / lbs/Tonslvr <br />4 8 8.8 permitted acres <br />72.6 aces <br />561.4 acres <br />$2.344.00 application fee <br />$2 906.00 quarry application <br />$1.938.00 amendmearfee <br />$2.344.00 conversion fee <br />2. / Ibs/Conshr <br />5. / 1bslTonslvr <br />5.2 Anticipated end use of primary commoditie(s)tobemined: u;~ Rapp r3ecoratiye rock <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: N / A <br />