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II IIIIIIIIIIIII III ~°e~ ~~ ~ ~ <br />• 999 • <br />' ~ STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenr of Nawral Resources <br />1313 Sherman Si., Room 215 <br />Denver, Colorado 80203 <br />Phone: 1303) 8663567 <br />FAX: (303) 832-8106 <br /> <br />tit (' 0 ~ 1~g8 <br />r- . <br />CONSTRUCTION I(ATERIALS <br />REGULAR OPERATION (112) <br />IATION PERMIT APPLICATION FORK <br />I~~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Roy Romer <br />Governor <br />lames 5. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />CHECK 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 aioned and notarized IVORY ORIGINAL and four (4) copies of the completed <br />ivory application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections 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 proceeainq, please provide the information in the format and <br />order described in this form. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly in the apace provided the information requested below. <br />--- <br />--- <br />1. ------------------------------------------------------------------ <br />------------------------------------------------------------------ <br />Applicant/operator or company name (name to be used on permit): ------------------------ <br />------------------------ <br />li~,~_ '~(~. ( -(~ f-I <br />J <br /> The Denver Brick Company <br /> 1.1 Type of organization (corporation, partnership, etc.): Corporatio.^. <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Operation name (pit, mine or site name): Stevens Clay Lease <br />3. Permitted acreace (new or existing site) 40.24 permitted acres <br /> 3.1 Change in acreage (+ or -) acres <br /> 3.2 Total acreage in Permit area 40.24 acres <br />4. Peee• <br /> 4.1 New Application 5 1,875.00 application fee <br /> 4.2 New quarry Application S2,325.00 quarry application <br /> 4.3 Hilling Application (Non-DHO) 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) 51,875.00 conversion fee <br />5. Primary cortunoditie(sl to be mined: Clay <br /> 5.1 Incidental commoditie(s) to be mined: 1. - lba/TORE/vr <br /> 2. / lbs/Tone/vr 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: Brick <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />