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~-i <br />Vt~'is~ a v ~. <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Wtural Resources <br />1313 Sherman SL, Room 215 <br />Denver Colorado 80203 <br />~~~ "~ ~~~ <br />r. <br />COLORADO <br />DIVISION OF <br />MINES <br />GEOLOGY <br />Phone: (303)8663567 CONSTRUCTION MATERIALS SEP i 9 2005 <br />FAX: (3031832.8106 REGULA$ (112) OPERATION <br />RECLAMATION PERMIT APPLICATION F07tlVIW-~ ~% ~ ~increl: ~ ~-= <br />Bill Owens <br />Goenwr <br />CHECK ONF.: X There is a File Number Already Aaaigaed to thk OpentioD Resell Georae <br />Permit # M -1Q_-4~-~ 9 (Please reference the file ntunber currently assigned to this operation) Fzavti,e Dirca« <br />NewA lication Rule 1.4.5 X AmendmentA lication ule 1.10 R«uld w. calory <br />- PP ( ) PP (R ) Division DireWOr <br />Couveroion Application (Rule L I l) Natural Resource Truaee <br />Permit # M -~-~~-Q(z~ (provide for Ameodmenta and Converoiona of existing permits) <br />The application for a Construction Materials Regulaz 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Gcetcehtlical Stability Exhibit; and (3) the application fee. lVlten you submit your <br />application, be sure to include one (I) complete simed and notarized ORIGINAL and one (1) copy of the completed application foml, two (2) <br />copies ofExhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotcehnical Stability Exhibit, and a check for the application fee described <br />under Section (4) below. Exhibits should NOT be botmd w in a 3-ring binder; [naps should be folded to 8 112" X 1 I"or 8 12" X 14" sve. To <br />exps~ite processing, please provide the infomm[ion m the forma[ and order described in this form <br />GENERAL OPERATION INFORMAT]ON <br />Type or pliat clearly, in the space provided, ALL information aequdted bebw. <br />I. A~Dlicaot/ofxratororwmoanvnamefnametobeuaedonDermitl: Jake Kauffman & Son, Inc. <br />1.1 Type oforgactization (corporative, partnership, etc.): Corporation <br />2. Olxotionnattx(Dit.miaeoraitenaanel: Wagner / Kauffman Pit IF3 <br />3. Pettnkted aereaae (new or a=iatina aitel: 18 6 pernritted acres <br /> 3.l Change in acreage (+) 55 acres <br /> 3.2 Total acreage m Permit area 2 41 acres <br />4. Feea: <br /> 4.1 New Application $2.344.00 application fee <br /> 4.2 New Quarry Application $2.906,00 quarry applicazive <br /> 4.4 Amendment Fee $1.938.00 amendment fce <br /> 4.i Convcrsive to 112 operation (se[ by statute) $2.344.00 conversion fee <br />5. Primary eommodkie(sl to be mined: sand [?ravel <br /> 5.1 In~tiden[al commoditie(s) to be minted: t. n /a - Ibs/fatvtWr 2. / Ibs/1'onshr <br /> 3. / IbslCons/vr 4. / Ihs/fons/vr 5. / lbs/7'ons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)tobemined: construction materials <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: n / a <br /> Offce of ~ Office of Colorado <br /> Mined Land Reclamation Active and InaRive Mina Ceologiral5urvey <br />