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STATE OF COLORADO ^IVISION OF MINERALS AND GEOLOGY Depanmem ni Nalura~ Rex,or~e5 ~ RECEIVED 111 S iherman Sr., Rnom ? I S Denver, Gilorulo N0203 Phone 170:41 866-}567 JUN 0 2 2000 FA%:1.1031 n1_'-BIUb Division of Minerals & Geology CONSTRUCTION MATERIALS REGULAR (1l2) OPERATION RECLAMATION PERMIT APPLICATION FORM DIVISION OF MtNERAlS GEOLOGY RECLAMATION MINING•SAFETY sill Owen, Crnemor (;yeti E Watcher Faecmi~e D~reaor CHECK ONE: X New A lication Rule 1.4.5 Amendment A lication Rule 1.10" `noel e. tons PP ( ) PP ( ~rvision D~reaor _ Conversion A~/pplication (Rule 1.1 I ) Permit # M -a~b - d 7/-_ (provide for Amendments and Cooversioos of existing permits) The application for a Construction Materials Regulaz V l2 Operation Reclamation Permit contains three major parts: (I) the application form; (2) Exhibits A-S, Addendum 1, atry sections of Exhibit 65 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your application, be sure to include one (1) complete signed and notarized IVORY ORIGWAL and four (4) copies of the completed Ivy application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, 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 be folded to 8 If2" 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. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, ALL information requested below- Applicant/operator or comoaov name (name to be used o0 permit): PK Enterprises Inc. I.1 Type of organvation (corporation, partnership, etc.): Corporation 1.2 I.R.S. Tax I.D. No. or Social Security 2. Operation name (pit. mine or site name): Mule Creek Pit 3. Permitted acrea¢e (new or existine site): 18 permitted acres 3.1 Change in acreage (+) acres 3.2 Toral acreage in Permit area 18 acres 4. Fees: 4.1 New Application 4.2 New Quarry Application 4.3 Milling Application (Non-DMO) 4.4 Amendment Fee 4.5 Conversion to 112 operation (set by statute) 5. Primary commoditie(s) to be mined: Gravel 5.1 Incidental commoditie(s) to be mined: 1. Ibs/I'ons/vr 3. / Ibs/1'ons/vr 4. / Ibs/fons/vr 5.2 Anticipated end use of primary commoditie(s) to be mined: - 51.875.00 applicarion fee 52.325.00 quarry application 53.100.00 milling application 51.550.00 amendment fee $1.875.00 conversion fee 2. / Ibsrfons/vr 5. / Ibs/Tons/vr 5.3 Anticipated end use of incidental commoditie(s) to be mined: