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•. <br />DIVISION OF RECLAMATION, MINING AND SAFEi'Y <br />DepaRment of Naturat Resources <br />i 3 i 3 Sherman St., Room 215 <br />Denver, C,oiorado 80203 <br />Phone: (303} 866-356' <br />• COLORA p <br />FAX: r303? 832-8106 CONSTRUCTION itilA'I'ERIAI.S LAMATI©N <br />REGULAR (112) OPERATION ~~R l ~ Z ~ I1&NG <br />RECI,AiVTA'i'[ON PE2ti:I.IT AP.PLICA'.I'ION FOR~f~s'v~~ ~,, ~~ SAFETY <br />~n~n9 ana Sa ~~ t/B i!T Rftrer, ,r_ <br />CHECK ON.E: ~____ There is a file :lumber Already Assigned to this Operation Y Ha ~~~ o'r51,e~n,an <br />.Permit # ~i - - -____ (Please reference the file number crrrrentt assi Executive virecu,r <br />y fined to this operati r <br />_~___ Yew Application. (Rule 1.4.5) ~o~,ald titir. cattany <br />Amendment Application (Rule 1,10) Division oir<xaor <br />~_~ Conversion Application (12u1e 1.11) Naturat Resource TrustF~t~ <br />.Permit #t __ Nl : _____ _~~ ^~ _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation .Permit contains three major parts: (i) the application <br />form; (2) Exhibits A-S, Addendum I, any sections of Exhibit 6.5 (Geotechnical Stability Lxhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete siened and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of b.5 (Geotechnical. Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NO I' be bound or in a 3-ring binder; maps should be folded to <br />8 1 i2" X I 1 " or 8 1!2" X 14"size. To expedite processing, please provide the information in the format acrd order described in this form. <br />GINt's:12r1L, OPERA'T'ION .1:'~1POR~fA'1':[ON <br />Type or print clearly, in the space provided, ALL, inTormation requested below. <br />1. A ticant/o erator or com an name name to be used on ermit : Halde Sand & Grave 1, Inc . <br />1.1 Type oforganizakion (corporation, partnership, etc.): Corporation <br />2. Operation name (pit mine or site name): Halde Pit <br />3. :Permitted acreage (new or existine site): <br />3.1 Change in acreage (-+•) <br />3.2 Total acreage in Pern~it area <br />4. Fees: <br />4.1 New Application <br />4.2 Nesv ()marry Application. <br />4.4 ~lrnenclrrrertt I'ee <br />4.5 C:`onversiosr. tc~ 11.2 ol-~ratior;. (:set by statute} <br />}. Prin-arv coerttnoditie(s} to be mimed: __Sand _ __ Grave 1 <br />- -..... <br />5.1 Ineiclental eomnrciditie(s} tti be mined: 1. <br />._.._......_..._._.~._.__ ..............__..._ ibs%:1 on4_`r <br />~. (bs;'fonsi`}r 4. Ibsi'I'ons? i <br />------ , <br />----- , y <br />5.2 Anticipated end use of primary commoditie(s) to be mined: _ Sand/Grave 1 <br />5.3 Anticipated errd use of incidental. commoditie(s) to be mined: N/A <br />M-zoo8= p~~ <br />STATE OF COLORADO <br />6 8.2 8 permitted acres <br />acres <br />__-~ (i 8-~ ~ 8---•---- acres <br />52,696.00 application feu <br />53,342,0{1 quaary application <br />v.S'..229.00 arnetrcln;ent. fee <br />Sn,G9(i,00 cori:~ersiian fc~ <br />_ ~_ ~_ ~-- -l- ~-. <br />_for Road Construction <br />Office af --__.... <br />vtinerl Land Reclamation Denver Grand )unction buran~o C)ftice of <br />:1elivc~ ,~i,d Inactive Mines <br />