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iii iiiiiiiiniuiii <br />5^TATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Departmern of Natural Re>ources RECEIVED <br />1317 Sherman St .Room ? 1 5 o I v I S t o ~ o ~, <br />Denver, Colorado ti0?03 <br />FAXne7 1138)7-6'30567 CONSTRUCTION NL4TERIALS MpR 1 4 2001 tit I N &RA L ~ <br />REGULAR (112) OPERATION <br />GEOLOG' <br />RECLAs~tATION PEIL~IIT APPLICATION FORB~bision of Minerals and Geolo a E c L A n A r l o <br />rtI NING•SAFET <br />BJI O.~em <br />Co.ernor <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />~~y.,~~ ~~p C~e¢ E Walche~ <br />Permit # M -C~- ~L%'I ~ 'F /l l (Please reference the file Dumber currently assigned to tbis operation) Eae<~rve o~recior <br />Michael B. Long <br />X New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) oivinon Dbeaor <br />_ Coovenion Application (Rule I.I t) <br />Perini[ # M -_ _ _ (provide for Amendments aWd Conversions of existine permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form: <br />(2) Exhrbits A-S, Addendum I, any sections of Exhibit 6.5 (Geotecbnical Stability E.xhibi[; and (3) the application fee. Whrn you submit your <br />application, be stire to include one (i) comolete si®ed and notarized IVORY ORIGINAL and four (4) copies of dte completed Ivory <br />application form, @ve (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described order Section (4) below. E.xhibiu should NOT be bound or in a 3-ring binder, maps should be folded to <br />8 1/2" X I I" or 8 l/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 [he space provided, all information described below. <br />AoHlicant/ooerator or comoaov name (name to he used on Hermit): <br />1. I Tvpe of orgatti:;ation (cotporatioW, partnership, etc.): GOVERNMEN'E <br />1.2 I.RS. Tax I.D. No. or Social Security Number: <br />2. Operation name (nit, mine or site Hamel: ttF.NT ennRTS PIT #2 <br />i. Permitted acrea¢e (new orPermitted (new or evstin~skel: 17.87 permitted acres <br />3.l Change in acreage (+) <br />3.2 Total acreage io Permit azea <br />acres <br />17.87 acres <br />4. Fees: <br />4 I New Application 52.344A0 application tee <br />4.2 New Quarry Application , $2.906.00 quarry apphcanon <br />4.4 Amendment Fee ~I.938.00 amendment fen <br />4S Conversion to 1 l? operation (set by statute) $2.344.00 conversion fee <br />5. Primary commodities to be mined: GRAVEL <br />5.l Lnctdental commoditie(s) to be mined: L / Ib,/foos/vr 2. / Ibs/ioWS/vr 3. / Ibs~l'onshr <br />4. / Ibs/1'oos/vr 5. / Ibs/fons/vr <br />5.2 Anticipated end nse of primary commodite(s) to be mined: <br />5.3 Anticipated end use of incidental commoditie(s) to be [Wined: <br /> <br />