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~ III IIIIIIIIIIIIIIII ~ ~~~~,,. ~~~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: 13031 8663567 <br />FAX:13031832-8106 <br />~FCEIVED <br />~~ <br />DEPARTMENT OF <br />NATURAL <br />CONSTRIICTZON MATERIALS ~S~~CES <br />REGIILAR (112 ) OPERATION JUI. 0 8 1991 Roy Romer <br />RECLAMATION PERMIT APPLICATION FOAM Governor <br />Division or Iwmerais & Geolo~~eueve Dihector <br />MichaelB Lons <br />Division Duector <br />CHECK ONE: ~~ New Application (Rule 1.4.5) Ameaameat Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # ~+~-~~-~L _-_ (provide for Amendmeats and Converaioae of <br />existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains <br />three major parts: (1) the application form; (2) Exhibits A-S, Addendum 1, any sections of <br />Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete signed and notarized IVORY ORIGINAL and four (4) <br />copies of the completed Ivory application form, five (5) copies of Exhibits A-S, Addendum 1, <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee <br />described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps <br />should be folded to 8 1/2" X 11" oz 6 1/2" X 19" size. To expedite processing, please provide <br />the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or priat clearly, in the space provided, ALL iaformatioa requested below. <br />---------------------------------------------------- <br />1. Applicant/operator or company acme (game to be used on permit): <br />Peila S`nna SvctPms. Inc. <br />1.1 Type of organization (corporation, partnership, etc.): ~LrnO ra tj Oil <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: uC~-137~Zi)~ <br />2. Operatioa name (pit, miae or site game): Parkdale °roject <br />3. Permitted acreage (aew or existing site): :,1:,.~ permitted acres <br />3 .1 Change in acreage (+ or -) acres <br />3 .2 Total acreage in Permit area :113.2 acres <br />4. Fees: <br />4 .1 New Application 51,875.00 application fee <br />4 .2 New Quarry Application $2,325.00 quarry application <br />4 .3 Milling Application (Non-DMO) 53,100.00 milling application <br />4 .4 Amendment Fee $1,550.00 amendment fee <br />4 .5 Conversion to 112 operation (set by statute) 51,875.00 conversion fee <br />5. Primar y commoditie(s) to ba miaea: Granite Gravel Sands to re <br />5 .1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/yr <br /> 2. / lbs/Tons/vr 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br />5. 2 Anticipated end use of primary commoditie(s) to be mined: COnStrUC `i,j 0Y1 <br />5. 3 Anticipated end use of incidental commoditie(s) to be mined: <br />