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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Oenvet, Colorado 80203 C O L O R. A D O <br />Phone: (3031 866-3567 o t v t s t o nt o f <br />FAX: (3031 832-8106 CONSTRUCTION :~IATF,RLALS Rl?CLAMATION <br />MINING <br />REGLiLAR (112) OPERATION - & - <br />RECLAMATION PERAMIT APPLICATION FOR~1~I SAFETY <br />Bil! Ritter, Jr. <br />Governor <br />CHECK ONE: There is a File Number Already Assigned to this Operation Ffarris D. siterrr,an <br />Executive Director <br />Permit # M - - -_ (Please reference the file number currently assigned to this operati~~ <br />ald 1N. Cattany <br />X New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Drvisi°n Director <br />Natural Resource Trustee <br />Conversion Application (Rule 1.11} <br />Permit # M - __ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum i, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) camnlete si ned and notarized ORIGINAL and one (i} copy of the completed <br />applicarion form, two (2) copies of Exhibits A-S, Addendum I, appropriate sections of 6.S (Geotecllnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound ar in a 3-ring binder; maps should be folded to <br />$ l /2" X 11 " or 8 1 /2" X 14" size. To expedite processing, please provide the information in the format atld order described in this form. <br />GENERAL OPERATION INFORMATION <br />`t'ype or print clearly, in the space provided, ALL information requester! below. <br />1. Appiicant/operator or company name (name to be used on permit): COnne11 ReSOUrCes , IriC <br />i.i Type of organization (corporation, parhiership, etc.}: CorlDOration _ __-~ <br />2. Operation name Init. mine or site name): SerFer Pit <br />3. <br />Permitted acreage fnew or existin,~ site,: <br />3. I Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4 5 permitted acres <br />acres <br />_~____4 5 _____..____ acres <br />4. <br />5 <br />Fees: <br />4.1 New Application <br />4.2 New Quarry Application. <br />4.4 Amendment Fee <br />4.5 Couversion to 112 operation. (set by stahtte) <br />52,69b.00 application tee <br />53.342.00 cluatry application <br />_ $_ 2,229.00 amendment flee <br />2,696.00 conversion tee <br />Primary comtnoditie(s? to be mined: __Sand __ Gravel__ <br />5.1 Incidental comntoditie(s) to be Honed: I. _~_____..~-_.__.___.__}bs/Tons yr 2. _____~ ; _~_-- - Ibs/'1'ons~r <br />3. ~ / lbs/Tons/vr 4..._._....__._.._l.___._.___._._.ibs/Tons/yr S. ___ _.___._.i.____.___.__lbs/Tong <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Cons t ruC t i on mat e r i a 1 s,_ _,___ _ _^___ __. _. _ ~_ <br />5.3 Anticipated end use of incidental commoditie(s) [o be mined: n/a <br />Office of ~_.." <br />C)liice. of <br />Mined Land Reclamation Denver Grand )unction Durango Active and Inacaive Mines <br />