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STATE OF COLORADO <br />~{q~t, DIVISION OF RFClAMA710N, MINING AND SAFETY L~~ <br />I " Depanmert tit Natural Rrwurces <br />1)73 Sherman $t, Room 175 <br />Denier, Colorado 80203 C O L O R A D O <br />Phone 1303! 8663567 //''~~ ~[ CONSTRUCTION MATERIALS D i v i s i o N o r <br />FA%~ .303; A32-87 <br />I[~l.r~~ V ~® RF.GULAR(112)OPERATION `~ REM N N ON <br />RECLAMATION PERMIT APPL[CATiOti FORM SAFETY <br />/ ocT 2 o zoos -- <br />8~~~ OWMS <br />CHECK ONE. Gtvision l~{ R~~eclamation Gowmnr <br />__~mn,`~a tg~(~e T~umber Already Assigned to this Operation Rusuu Ceayc <br />Permit p Ma -_ ~ _ (Fleasc reference the file number ciuretWy assigned to this operafiditr"'B o1eCiO' <br />Ronald W CarLmv <br />X New Application (Ault 1 4 5) _ Amendment Application (Rule 1.10) Dims~sm D^eM~ <br />Conversion Application (Rule 1.1 I) Mamral Resource Tmstre <br />Permit # ~uf~-^ _ _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regulaz 112 Operation Reclamation Permit contains three major parts: (l) the application <br />form; (2) Exhibits AS, Addendum 1, any sections oCExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fce. When you <br />submit your application, be sure to include one (I) conmlete sinned and notarized ORIG[.NAL end one (1) copy of the completed <br />appbcaton farm, rtvo (2) copies of F;xhibits A-S, Addendum 1, appropnate sections of 6.5 (Geotechnical Stability Exhibn, aid a check for <br />the application fee descnbed wrier Section (4) below. Exhibits should NQ'! be bound or in a 3-nng binder; maps should be folded [o <br />8 I; 2" X I i" or 8 1:2" X 14"size. To expedite processing, please provide the information in the format and order described m this form <br />GENERAL OPERATION INFORMATION ~ ~$ <br />Type or print clearly, in Me space provided,:~L in(orttwtioo rcgaeated blow. ZkS `~ <br />~' • / <br />1. AunlieanVooerator or comoanvname !name to be used on oermftl~: Granby Reap Holdin S~ LLC _._~,__ <br />1.1 Type of organi2anon(corporatioTt,partnetship,etc.): LlmitedLiabilityCOmpanV <br />2. ooeratiou name foil, tNne or site name): Overlook Mine <br />3. Permitted acreatte (new or e:istina site): 32.36 permitted acres <br />3.1 Change in acreage (+) ~ acres <br />7.2 ToWI acreage in Petmtt area 32.36 accts <br />4 6'ces : <br />4.I New AppLcanon 32,344.00 application tee <br />4.2 Vew Quarry Application $2.90600 quarry application <br />4.4 Amendrrtent Fee ~l 93._00 amendtnent fce <br />4.S Conversion to 112 operation (set by statute) .82344.00 conversion fec <br />5 Prfnurv commoditie(s) to be mitred: Safld gravel <br />51 Incidental comrrwddie(s)to be mined: L_._____,_,____Ibs/roac!xr 2. ^_/ .___ msrfonsiyr <br /> 3. __-~'---'- Ibsf[DivsJVr 4. ibs''lons~ 5. _, / Ibsrl'ons!vr <br />5.2 Arnicipated end use of pnmary corrnnodine(s) to be iriiaed: COI1SttUCtiOD aggreg ates _____~___-_. . <br />5.3 Anticipated end use of incidental commoditie(s) to be mina): rIODB BtltiCl ated <br />p---- _ <br />-..__-~---~---- <br />Offire of Olatr of <br />Mmcd land Rerlama0on Atave and Inaftme Mmr~ <br />