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III IIIIIIIIIIIII III <br />f~ <br /> <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman S(.. Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FA%:(303)032-8706 <br />JAf~ ;; .i 199% <br />CONSTRUCTION MATERIALS <br />REGIILAR OPERATION ,(112) <br />ATION PBRNIT APPLICATION FORM ' ' ~ 'C;' <br />~~~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Roy Romer <br />Governor <br />lames 5. Lochhead <br />Executive Dueaor <br />Michael B. Long <br />Division Director <br />CHECK ONE: X New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit / - -_ (provide for Amendments and Coaversio~of <br />existing permits) <br />The application for a Regular 112 Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical <br />Stability Exhibit; and (3) the application fee. When you submit your application, be sure to <br />include one (1) complete sicned and notarized IVORY ORIGINAL and four (4) copies of the completed <br />ivory application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 <br />(Geotechnical Stability Exhibit, and a check for the application fee described under Section (4) <br />below. Exhibits should not be bound or in a 3-ring binder; maps should be folded to S 1/2" X 11" <br />or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and <br />order described in this form. <br />_____________________________________________________________________________________________ <br />GENERAL OPERATION INFORMATION M- ~~ C~ O "l <br />Type or print clearly in the apace provided the information requested below. <br />1. Applicant/operator or company name (name to be used on permit): <br />The Denver Rrick Comoanv <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 />2. operation name (pit, mine or site name): Biiou Clay Pit <br />3. Permitted acreace (new or existing site) <br />3.1 Change in acreage (+ or -) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />30.06E permitted acres <br />acres <br />acres <br />4.1 New Application 51,875.00 application fee <br />4.2 New Quarry Application 52,325.00 quarry application <br />4.3 Hilling Application (Non-DMO) 53,100.00 milling application <br />4.4 Amendment Fee 51,550.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) 51,875.00 conversion fee <br />5. Primary commoditie(s) to be mined: Clay _ <br />5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tone/vr <br />2. / lbe/Tone/vr 3. / lbs/Tons/vr <br />4. / lbs/Tons/vr 5. / Lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Brick <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />