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. <br /> <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />Division of Minerals and Geo ogy <br /> <br />• <br />RECcIVED <br />,,,~ , 4 ,n~ rATE OF COLORADO <br />1113 Sherman Si.. Room 21 ~ <br />Denver, Colorado 00203 <br />Phone' (3031 066-3567 CONSTRUCTION MATERIALS <br />FAX: (3031 03 2-81 06 REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: There is a File Number Already Assigned to thin Operation <br />Permit # M ~-~~ (Please reference the fde number currently assigned to this operation) <br />R New Application ()tole 1.4.5) <br />DIVISION O <br />MINERAL <br />GEOLOG7I <br />0.ECLAM ATION <br />~MI NING•SA FETY <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Execmive Director <br />Michael B. Long <br />Dnisipn Duenor <br />Amendment Application (Rule 1.10) <br />Coovenion Application (Rule l . i 1) <br />Permit # M -_ _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhiba 6.5 (Geotechnical Stability Exhibit: and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete si®ed and notarized IVORY ORIGINAL and four (4) copies of the completed Ivor <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Slabilip~ Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />I. Aoaficantloperator or rnmpaov name (Dame to be used ov permit <br />GRASSER CONSTRUCTION,INC. <br />1.1 Type of organization (corporation,parmership,etc.): CORPORATION <br />l.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Ooerationname(pit.mineorsiteiamel: McCORMICR PIT <br />3. Permitted aceage (new or eustine site): 94 permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 Total acreage in Permit azea o a acres <br />4. Fees: <br />4. l New Application $2.344.00 application fee <br />4.2 New Quarry Application $2,906.00 giatrv application <br />4.4 Amendment Fee $1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.344.00 conversion fee <br />5. Primarvcommoditie(s)tobemined: SAND GRAVEL <br />5.l Incidental cotnmoditie(s)tobemined: 1. MOOOIbs/Tonslvr 2. ~OOOIbs/fons/vr 3. / Ibs/Covs/vr <br />4. ! Ibs(Iovslvr 5. / lbs/foas/vr <br />5.2 Anticipated end use ofptunarycommoditie(s)tobemined: ROAD AND HIGHWAY CONSTRUCTION <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: ROAD AND HIGHWAY CONSTRUCTION <br />