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<br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenl of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: 13031 866-3567 <br />FA%: (3031 832-8106 <br />STATE OF~OLORADO <br />~ ee.~ 0110 <br />RECFI~~Fn <br />CONSTRIICTION MATBRIALS <br />AUG ~ 4 1991 RBGDLAR (112 ) OPBRATION <br />RBCLAMATION PERMIT APPLICATION PORM <br />Division of tJanelals ~ i;eology <br />CHECK ONE: X New Application (Rule 1.4.5) <br />~ ~'l i1~ <br />~~~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />wtichael e. long <br />Drvisian Direcror <br />Roy Romer <br />Governor <br />lames 5. Lochhead <br />Execurive Director <br />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 Construction Materials Regular 112 Operation Reclamation Permit contains <br />three major parts: (1) the application form; (2) Exhibits A-S, Addendum 1, any sections of <br />Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete sinned and notarized IVORY ORIGINAL and four (4) <br />copies of the completed Ivory application form, five (5) copies of Exhibits A-S, Addendum 1, <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee <br />described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps <br />should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide <br />the information in the format and order described in this form. <br />_____________________________________________________________________~ =g~.0 71 ---------_ <br />GENERAL OPERATION INFORMATION ' <br />Type or print clearly, in the space provided, ALL information requested below. <br />------------------------------------------------------------------------------------- ------- <br />1. Applicant/operator or companv name (name to be used on permit): WILLIAM S. CALDWELL, <br />BEVERLY H. CALDWELL, ALBERT F. NESSELHUF, JR. and LOLA E. NESSELHUF <br />1 .1 Type of organization (corporation, partnership, etc.): <br />1 .2 Z.R.S. Tax I.D. No. or Social Security Number: ~I o 5 4 ~ S 9 3 <br />2. o peration name (pit, mine or site name) : Caldwell - Nesselhuf Pit No. 1 <br />3. Permit ted acreage (new or exietina site): 9 ~ permitted acres <br /> <br />3 <br />.1 <br />Change in acreage (+ or -) i <br />A2 acres <br />3 .2 Total acreage in Permit area 92 acres <br />4. Fees: <br />4 .1 New Application 51,875.00 application fee <br />4 .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) 51,875.00 conversion fee <br />5. Primary commoditie( s) to be mined: sand gravel <br />5.1 incidental commoditie(s) to be mined: 1. Anna - lbs/Tons/vr <br /> 2. / lbs/Tons/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: toad COnst~'u ~iOn <br />~ <br /> ;rzvm're to <br />rsa s-e--nrat'erra <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: none <br />