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<br />Creg E. thatcher <br />E+ecume D~reuar <br />CHECK ONE: There is a File Number Already Assigned to this Operation nr;c hael B Long <br />Permit # ht - - Di.~elo~ D~reaor <br />_ (Please reference the file number curtently assigned to this operation) <br />~f ~ New Application (Rule 1.4.5) -Amendment Application (Rule 1.10) <br />__ / _,~_ Conversion Application (I2u~L1 I) <br />~~ permit q M _ 20 -00 11_ (providz for Amendments and Conversions of existing permits) <br />The application for a Construe[ion Materials Regular 1 12 Operation Reclamation Permit contains three major parts: (I) the application <br />farm; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application (ee. When you <br />submit your application, be sure to includz one (1) comolete sinned and notarized FVORY ORIGINAL and four (4) copies of thz <br />completed Ivory application form, five (5) copies of ExhibiLS A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stabilir}' 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 Ih" X 1 ]" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described <br />in this form. <br />GENERAL OPERATION INFORi`IATION <br />Type or print clearly, in the space provided, all information described belo~r. <br />Applicant/opzrator or company name (name to be used on permit): DG Husk in Construction Company <br /> <br />STATE COLORADO <br />DIVISION OF MINERALS AND GEOLOGI' <br />Deponmeni or Nawral Fesources p -, <br />171 } Sherman $t, Room 'I$ /\/3Wp ]J\t~p ~~~~~~~® p I c 15 i O n i <br />Denrer. Colorado BO'OJ <br />Phone. t)0J18o6~350% M I N E R A L <br />FA\: U03r tl12-81CG S- <br />CONSTRUCTION i\IATERIALS SE~ ~~ ZO~JO G E O L O G <br />RECIAnATIO <br />REGULAR (112) OPERATION MINING • S A F E T <br />ooI ,ton of Minerals and Geology <br />RECLAMATION PERMIT APPLICATION FO~~I <br />e,ll or.ent <br />eo.ernor <br /> <br />I.1 Type of organization (corporation, partnership, etc-): Corporation <br />I? LF.S. Tax LD. No. or Social Security Number: <br />2. <br />3. <br />Operation name (pit, mine or site name): Pino Pit <br />Permitted acreage (new or existing site): <br />16 .21 permittzd acres <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />G3~T acres <br />80.0 acres <br />4. Fees: <br />4.1 New Application <br />4.2 New Quart}' Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditiefsl to be mined: Sand Gravel <br />$2.343.00 application fzz <br />$2.906.00 quarry application <br />$1.933.00 amendment fee <br />52.344. conversion fez <br />~- - <br />5.1 Incidental commoditie(s) to be mined: I. NA / Ibs/Ions/vr 2. / Ibs/Tons/yr 3. / Ibs/fons/yr <br />4. / Ibs/I'ons/yr ~. / Ibs/I'ons/yr <br />- 5.2 Anticipated end use of primary commoditie(s) to be mined: Construction materials <br />NA <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br /> <br />