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STATE OF COLORADO <br /> DIVISION Of MINERALS AND GEOLOGY <br /> Department of Natural Resources <br /> 1313 Sherman St.. Room 215 p t <br /> Denver,Colorado 80203 �l�V+�-- - �' D I V 1 5 1 0 N O F <br /> Phone:(303)866 3567 a0 CONSTRUCTION MATERIALS MINERALS <br /> FAX.(303)832-8106 i� <br /> a0pl REGULAR(112)OPERATION AUG 3 1 2001 & <br /> RECLAMATION PERMIT APPLICATION FORM GEOLOGY <br /> Division of Minerals and Geology R E C L A MS AATF ION <br /> TY <br /> Ed]Owens <br /> CHECK ONE: There is a File Number Already Assigned to this Operation <br /> Goverro, <br /> �1 Greg E.Watcher <br /> Permit# M -AD-_(27 j)__ (Please reference the file number currently assigned to this operation) Esec.nve Director <br /> Michael B.Long <br /> X New Application(Rule 1.4.5) —Amendment Application(Rule 1.10) 0,r,wn Director <br /> Conversion Application(Rule I A 1) <br /> Permit# M -__— (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts:(1)the application from; <br /> (2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5(Gectechnical Stability Exhibit;and(3)the application fee. When you submit your <br /> application, be sure to include one (1) complete sigged and notarized IVORY ORIGINAL and four (4) copies of the completed Ivory <br /> application form,five(5)copies of Exhibits A-S,Addendum 1,appropriate sections of 6.5(Gootechnical 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 1/2"X 1 I"or 8 I/2"X 14"size. To expedite processing,please provide the information in the format and order described in this form. <br /> GENERALOPERATION INFOR <br /> Type or print clearly,in the space provided,all information described below. <br /> 1. hcaut/o rator or com an name Dame to be teed on tr it : 7 <br /> Western Mobile Northern, Inc. a subsidiary of Lafarge Corporation <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 1.2 IRS.Tax I.D.No.or Social Security Number: 84-1115944 <br /> 2. Operation name(pit,mine or site name): River Valley Resource <br /> 3. Permitted acreage(new or existing site): 105.41 permitted acres <br /> 3.1 Change in acreage(+) — acres <br /> 3.2 Total acreage in Permit area 105.41 acres <br /> 4. Fees: <br /> 4.1 New Application S2.344 00 application fee <br /> 4.2 New Quarry Application S2,906.00 quarry application <br /> 4.4 Amendment Fee $1,938.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2,344.00 conversion fee <br /> 5. Primary commoditiefs)to be mined: Sand Gravel <br /> 5.1 Incidental commoditie(s)to be mined: 1. n/a/ Ibs(roushrt 2. Ibs/rous/vr 3. / Ibs/roas/vr <br /> 4. 1 Ibs/ronslvr 5. ! Ibslronslvr <br /> 5.2 Anticipated end use of primary commoditie(s)tobemined: Construction materials <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: n/a <br />