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TATE OF COLORADO <br />DIVISION Of MINERALS AND GEOLOGY RECEIVED <br />Department of Natural Resources FILE COPY <br />1313 Sherman SL, Room 215 q p q ,/ <br />Phones(303)Sfi6-3 6703 f®.R SCANN/NG O~~ L o LO~2 " <br />FkT: 1303) 832-8100 Division of Minerals and Geology <br />Col~'STRIICTI~1~'?VI/3,T~RIAIS // <br />/ REGULAR (112) OPERATION `~ <br />V// RECLAMATION PERMIT APPLICATION FOR'~I <br />CI-1ECI~ ;P_VE: X There is a Fde 1\u~er Already Assigned to this Operation <br />Pcrmit # M - GO,?-// -_ (Please reference the fde number currently assigned [o this operation) <br />_ Nee Application (Rule 1.4,5) _ Amendment Applica@on (Rule 1.10} <br />Conversion Application (Rule 1.11) <br />Permit # M - -_ (provide for Amendments and Conversions of existing permits) <br />DIVISION O E <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAF ETY <br />Bill Owens <br />cove.nor <br />Greg E. VJalcher <br />Executive Director <br />6o-,old N. canany <br />Acting Division Dlreccor <br />The apphcation for a Construction Materials Regular 112 Operation Reclamation Permit conttins three major parLS: (I) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhribit 65 (Geotechnical Stability Exhibit; mmd (3) Ete application fee. When you submit your <br />application, be stye to include one (1) comolete sued and notarized IVORY ORIGINAL mmd one (1) copy of the completed III application <br />form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application <br />fee descrbed ender Section (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8112" X 11" or 8 1/2" <br />X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />1. ApplicanUoperator or comnaov name (name to be used on oetwifl• E l dlTl CO n S t ru c t i On , I n C . <br />1.1 Type oforganization (corporation, partnership, etc.): Colorado Corporation <br />1.2 I.RS. Tax I.D. No. or Social Security Number: <br />2. Ooeration name (i H, mine or site Hamel: f i 1 t nn i to Grave 1 P 1 t <br /> <br />3. Permitted acrea¢e (new or eaistin¢ site): 73.46 permitted acres <br />3. ] Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Qnart'y Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. PrimarvcommoditIe(s)tobemined: SAND GRAVEL <br />5.1 Incidental commoditie(s) to be mined: 1. lbslTons/vr <br />5.2 <br />acres <br />acres <br />$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. / Ibs/Tons/vr <br />3. / lbs/Tonsh~ 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br />Anticipated end use of primary commoditie(s)tobemined: CONSTRUCTION MATERIALS <br />5.3 Anticipated end ise of incidental commoditie(s) to be mined: NON E <br />