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TATE OF <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmeni of Natural Resources <br />1313 Sherman Si.. Room 215 <br />Denver, Colorado 80203 <br />Phone: 13031 866-3567 <br />FA%: (3031 8328106 <br />COLORADO <br />n?cCEIVEk~ <br />AUG 2:~ f99~ <br />CONSTRUCTION MATERIALS <br />REGULAR OPERATION (112) DNiS~b~~ ~l ,;qln erals&GeoogyRny RUme. <br />RECLAMATION PERMIT APPLICATION FORM Goverror <br />lames 5. Lochhead <br />Ezecuuve Dheao~ <br />Michael B Long; <br />D ie m on Duec mr <br />CHECX ONE: X~ New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # - -_ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Regular 112 Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical <br />Stability Exhibit; and (3) the application fee. When you submit your application, be sure to <br />include one (1) complete signed and notarized IVORY ORIGINAL and four (6) copies of the completed <br />ivory application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate eections of 6.5 <br />(Geotechnical Stability Exhibit, and a check for the application fee described under Section (4) <br />below. Exhibits should not be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" <br />or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and <br />order described in this form. ~^ _ Q~ r~~r~ <br />GENERAL OPERATION INFORMATION <br />Type or print clearly in the space provided the information requested below. <br />--------------------------------------------------------------------------------------------- <br />--------------------------------------------------------------------------------------------- <br />1. Aoolicant/ooerator or company name (name to be used on permit): <br />Hall-Irwin Construction Co. <br />1.1 Type of organization (corporation, partnership, etc.): COT'POration <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Oceration name (pit, mine or site name): Firestien Pit <br />3. Permitted acreage (new or existing site) 133 permitted acres <br />3.1 Change in acreage (+ or -) - acres <br />3.2 Total acreage in Permit area 133 acres <br />4. Fees: <br /> New Application S1,875.00 application fee <br />.2 New Quarry Application 52,325.00 quarry application <br />4.3 Milling Application (Non-DMO) 53,100.00 milling application <br />4.4 Amendment Fee 51,550.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) 51,500.00 conversion fee <br />5. Primary commoditie(sl to be mined: Sand Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr <br /> 2. / lbs/Tons/vr 3. / lbs/Tone/vr <br /> 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: CORStT'I1CtlOn Materials <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />