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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY ~~ ~~' ° ED <br />Oepanman o! Wiuraf Resotaces <br />13135hemwn St., Roan 215 FEg p 610 coLORAno <br />Denver, Colando 60203 06 DIVISION O F <br />MINERALS <br />Phone: U031 a66-3567 CONSTRUCTION MATERIAIQS 6 <br /> <br />FAX: (303) 8323706 rision a( <br />REGULAR (112) OPERATION Minerals and Geol ~ <br />G E O L <br />O G Y <br /> ogy <br />RECLAMATION PERMIT APPLICATION FORM o <br />s.rerr•snrwes <br />sill Ovrent <br />Governor <br />CI-[ECK ONF.: There is s File Number Already Augoed to t6u OperatbD R~ ~~ <br />Peapit # M -_ _ (Plea cefecetwe the file nntnbec cracartly assigned to Ihis apecatiun) F:waive Dlmmr <br />Ronald w. Uaarry <br />New Application (Rule 1.4.5) _ Amendment Application (Rule L 10) OiNSbn arecta. <br />_ Conversion Application (Rule I.11) Nanml Resounx Tnatee <br />Permit # M -_ _ (provide for AmeDdmepb old Conveniom of e•aslmg permits) <br />The application for a CrntsMtction Materials Regular 112 Operation ReclaptatipD permit txmtairm three major parts: (1) the application form; <br />(?) E71»bits A-5, Addeodtan t, any ~etionsvdFxfibit 6.S ((ieotxffincat Stability Etdtittie, and (3) the application foe. Wttenyw su6mityaa <br />application, t+e sure m include one (I) complete staled and trotarved ORIGINAL end one (1) copy of the completed appliration faint, two (2) <br />copies of Exhibits A-S, Addendlmt 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, end a check for the application fee described <br />Tinder Section (4) below. Exhibits should NOT be bawd or in a 3-ring binder, maps should be folded to 8 12" X 11' or R 12" X 14" sbe. To <br />exptdite pnxxasvtg, please provide the information in the format end olds describedm this form. <br />GENERAI. OPI]2A770N [NFORMA770N u,y ~dy `~~ <br />Type or print ckarly, in the space prnvided,~ informaf'toD requested below. PG6 ~'~~ <br />Allen Drillin and Excavatin II'~ <br />1. ~plicantlooentor or mmpanv name (name to be used m permit): g g U ~nf <br />1. l Type of orgeni7ation (corporation, pm maship, etc.): C O ~O r at1 O ri <br />2. Operation patx (pit, mme or site Dame): <br />3. PertnRted acreage (new or e:istintt site): <br />3.1 Change in acreage (+) <br />3.2 TeNa7 acreage in Pemtit area <br />A11 en Pi t <br />4. Fees: <br />4.I New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />45 Conversion to 112 operation (set by statute) <br />5A . 5 permitted accts <br />Ti~A acres <br />59.5 acres <br />52344.00 application fee <br />$2.906 00 quarry application <br />$1.935.(1n emadrnent fee <br />$2,344 0(1 amversioo fn <br />S Primary commoditie(s) to he mined: (_' r 2 tt ~ l .a ~„p <br />5. f Incidental cotlrrnoditie(s) to be tniced: I. !`(~ A- Ibs/forts~r 2. ! Ibs/fonshT <br />3. ( 46:l4'cxtslv2 4. f iM(trmslvr 5. ! lbs(tonshs <br />5.2 Anticipated end use of primary witunali[ie(s}to be mined: COri==trUCti Ori t?12.t °ri ~.1 aril COri Crcte <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Offim of Office of Calando <br />Minh Land Reclamation Acdve and Inactive Mina Geological Surve! <br />