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<br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY .~~ _ ECEIVED `~ <br />Department Ot Natural Resources <br />1313 Sherman A., Room 215 <br />Dem~er, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303j 832-8106 <br />~~ <br />MAY 1 7 2002 <br /> <br />DIVISION O <br />MINERAL: <br />GEOLOGI <br />RECLAM ATIOP <br />MINING•SAFETI <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION ~ <br />Division of Minerals and Geology <br />RECL4MATION PEILMTf APPLIC4TION FOIZt11 <br />CHECK ONE: X%l~ee• Application (Role 1.4.5) _ Amendment Application (Rule 1.I0) <br />_C,o,,nwersion Application (Rtile 1. ] 1) <br />Permit # M -awry-~-_ (provide for Amendments and Conversions of existing permits) <br />Bill O~rens <br />~ovemor <br />C:eg E. Wal<he; <br />Execu;lve Cireaor <br />Michael B. Lung <br />Division Director <br />The application for a Constmction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendum I, arty- sections of Exhibit 6.5 (Geoteclmical Stability Exhibit; and (3) the application fee. R7ten you submit your <br />application, be sure to include one (1) complete si®ed and notarized IVORX ORIGINAL and four (4) copies of the completed hon, <br />application form, five (5) copies of Exhibits A-S, Addendtm 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the applicaiion 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 11" or 8 1/2" X 14" size. To expedite processing, please provide the information in fire format and order described in this form. <br />GENERAI.OPERATION <br />Type or print clearly, in the space provided, ~ information requested below. <br />1. AnnlicantJoaerator or comoanv name (name to be used on oermhf <br />Road Department <br />Local Government <br />1.1 Type of organization (corporation, parhterslrip, etc.): <br />1.2 I.RS. Tax I.D. No. or Social Security Number: <br />2. Operation name (oit, mine or shte name): Sunbeam Pit #1 <br />3. Permitted acreage (new or existinit site): <br />3.l Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Feea: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statue) <br />5. Primary commoditie(s) to be mined: Sarid Gravel <br />5.1 ~ Incidental commoditie(s) to be mined: 1?~/A lbs/TonsPor <br />68.148 permitted acres <br />acres <br />68.148 acres <br />XXXY,XXX $2.344.00 application fee <br />$2,906.00 quarry application <br />$1.938.00 amendment fee <br />$2,344.00 conversion fee <br />2. ___ / IbsPTons/vr <br />3. ! lbs/Tons(vt 4. / lbs/Tons/vr 5. _ / IbslTonslvr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road Malrl$enB.FiC 2 <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: 1V~A <br />