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J~-ado7- pa3 <br />coNSTRUCTION MATERIALS RECEIVED <br />I.Il4IITED IIMIPACT (110) OPERATION ~~ ~ 1 2007 <br />RECLAMATION PERMIT APPLICATION FORM <br />Division of ReCJ~rrtation, <br />CH~tE'CK ONE: There b a Flle Number Already Assiped m thb Operation Mining and•6efety <br />W~ Petmit # M -_ -_ -_ (Please reference the file mmtbar anrrntly assigned to this <br />~~~ ) <br />^~ X New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />j`V ` _Certversiae Application (Rule 1.1 I) <br />Permit # M = _ _ (provide for Amendment and Conversions of existing <br />Permits) <br />The appliption for a Conshuction Materials Limited Impact (110) Operation Reclamation Permit contains <br />three major parts: (1) the application form; (2) Exhibit A-J, Exhibit 1, Addendum 1, arty sections of <br />Exhbtt 6.5 and Geotechmical Stbility Fathibit, as regiirod hY the O~Ce, and outlined in Rules 6.1, 62, <br />6.3, 6.5, and 1.62(]xb); and (3) the application fee When you sibmit your app6cazion, be sure to inchrde <br />one (1) camntete sued and notariad ORIGINAL a~ one (1) copy of the completed application form, <br />two (2) copies of F•xhibit A,J, 15chrbit 4 Addendr® 1, and appropriate sections of 6.5 (Geoteclmical <br />Stability Exldbit), as reQurted, and a check for the application fce descnbed under' (4) below. Exhibits <br />Should NOT be bound or in 8 3-riig binder, maps should be fold to 8 1/L` X 11" or 8 1/2` X 14" sta. To <br />expedite processing, Please provide the information in the format a~ order descn'bed m this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearty, in the space provided, ALL information desalted below. <br />Apptirant/ooe[r1Wr or comtraar Dame (name to be teed a oermit): Chuck T. Gutierrez and <br />Jack H. Ecedle <br />1.1 Type of organistion (corporation, partarship, etc.): Parhr i <br />2. Qoeration acme (oit. mine or site asme): Beedle Ouarrv <br />3. Permitted aeresee fnew or existina site): -permitted acres <br />3.1 Change in acreage (+) acres <br />32 Torah Acreage in Permit Area ~ _ acres <br />4. ~: <br />4.1 New AppGt:ation: 51.094.00 application fee <br />Amendment Fee (C.RS. 34-32.5-125(11)): 5719.00 appGcsti~ fee <br />42 Conversion Fce (from I lOd W 110 5875.00 conversion fee (Rule 1.112(2)) <br />5. Nrhnarv commadpk(s) to tie mined: I.niest~e. Granite. Sandstone. Decorative Rock Gravel. <br />Sand. Topsoil <br />5.1 Incidental commoditie(s) to be mined: 1. lbs/I'ons/vr 2. Ibs/1'ons(vr <br />3. Ibsrl'ons/vr 4.. Ibs/fons/vr 5. Ibs/I'ons(vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road covaiae and lazrdscanine <br />Anticipated end rue of incidental commoditie(s) to be mined: Iaodscaoiffi <br />-2- <br />