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<br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmem of Natural Resources <br />141 S Sherman 51., Room ? 1 5 <br />Derner, Colorado N02DJ <br />Phone. (3031 tl66-3567 <br />FA%.I ll)J) n32~tl106 <br />~ ia~uv~ <br />,~.~~- a"'4~Sd' <br />OF COLORADO <br />I f'7000~V[=~ \~ <br />I /'~~ ! „000 D1 VISION OFD <br />1 1 MIN ERALS <br />UNmion olMinerals & Geology & <br />GEOLOGY <br />CONSTRUCTION MATERIALS MENINGnSATCr°rr <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM Bill Owens <br />Governor <br />Crc4 E. Watcher <br />Eaecuuve Dueaor <br />CHECK ONE: X New A lication Rule 1.4.5 Amendment A lication Rule 1.10``" `noel e. tnnp <br />PP ( ) PP ( Dmnion Dueclor <br />Conversion Application (Rule 1.11) <br />Permit # M -.~~~- G8 rJ-_ (provide for Amendments and Conversions of existing pennirs) <br />The application for a Construction Mazerials Regular 112 Operation Reclamation Permit contains three major parts: (I) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; avd (3) the application fee. When you submit your <br />application, be sure to include one (1) complete limed and notarized IVORY ORIGWAL and four (4) copies of the completed Iv <br />application form, five (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 under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 I/2" X 1 I" 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, io the space provided, ALL information requested below. <br />Applicant/oneratororcomoaovname(nametobeusedoooet~itl: Aggregate Industries, InC. <br />I.I Type oforganvation (corporation,parmership,etc.): COl'p0T'dtlon <br />1.2 I.R.S. Tax I.D. No. or Social Securiry Number: <br />2. Operation name toil- mine or site Dame): Mi 11 i ken Si <br />3. Permitted acreaee foew or a:istina site): <br />3.l Change in acreage (+) <br />3.2 Toral acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4:L New Quarry Application <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: sand -gravel _ <br />5.1 Incidental commoditie(s) to be mined: 1. GO1 d - 5 Ibs/fons/vr <br />permitted acres <br />acres <br />205.2 acres <br />$1.875.00 application fee <br />$2.325.00 quarry application <br />83.100.00 milling application <br />E1.550.00 amendment fee <br />$1.875.00 conversion fee <br />2. / Ibs(Tons/vr <br />3. / Ibslfons/vr 4. / Ibsrfons/vr 5. ! Ibs/fons/vr <br />5.2 Anticipated end use of primary commodi[ie(s)tobemined: Construction materials <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />