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M-~ooe"- OLo <br />STATE OF COLORP,DO <br />DIVISION OF RECLAAAATION, MINING AND SAFETY <br />Department of iVatura) Resources <br />3 313 Sherman St., Room 215 ~~ <br />Denver, Colorado 802p3 ~yJ <br />('hone: (303) 866-3567 ~~',~;i <br />FAx- (303) 832-81p6 <br />Received <br />~ 3 ~ 2008 <br />~ ,~ rLp~~' a~\o~, ~ur~ta~ ~i~ a <br />QQ ~o~~gca5ar~er! CONSTRUCTION .MATERIALS ~'~ <br />O\~`,~~~9a~ LIMITED IMPACT (110) OPERATION <br />RECLAMATION PERM.I'i' APPLICATION FORM <br />col_oRAao <br />D I Y t 4 t O N U f <br />RECLAMATION <br />MINING <br />SAF~7Y <br />Bill Ritter,. Jr, <br />Governor <br />Harris D. Sherman <br />Executive Director <br />Rona}d W. Cottony <br />Division Director <br />CHECK ONE: There is a File Number Already Assigned to this Operation Natural Resource Tns,.ee <br />Permit # _ M - - -_ (Please reference the file number currently assigned to this operation) <br />X PSew Application (Rule 1.x.5) Amendment Application (Rule 1.10) <br />(conversion Application (Rule 1. l i) <br />Permit # M - _ __„ (provide for Amendments and Conversions of existing permits) <br />The application for a Consttuctian Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geoteehnical Stability Exhibit, as required <br />by the Office, and outlined ua Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be <br />sure to include one (1) co,~, rat Mete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Eddendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for <br />the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 112" X <br />11" or 8 i/2" X 14" size. To expedite processing, please provide the information in the format and order described in this Toms. <br /> GENERAL OPERATION INFORMATION <br />Typo or print clearly, in the space provided, ALL information described below. <br />1. Applicant/onerator or companv name (name to be used on aernut): D o 1 o r e s County Road Dept . <br /> 1. I Type of organizzdion (cotpora6on, partnership, etc.): County G o y e r n m e n t <br />2. Operation name (alt, mine or site name): P r i b b l e P i t <br />3. Permitted acreage (new or existint: site): permitted acres <br /> 3.1 Change in acreage (+) acres <br /> 3.2 Total Acreage in Permit Area _~^_ acres <br />4. Fees: <br /> 4.1 ;view Applicatia,s: 1 25$ 00 application fee <br /> Atnendtrtent H'ee (C.R.S. 34-32.5-125(II)}: S$Z7.0(! application fee <br /> 4.2 Conversion 1~ee (from 110d to 110 1~ .25$.00 conversion fee (Ru).e t.I. t.2{2)) <br />S. Primary commoditie(s). to be mined: S t a n d s t o n e <br /> 5.1 Incidental cornntoditie(s) to be mined: I. 1 (bs%I'ons/yr 2. / IbsPl'onsJvr 3. ! lbsrl'ons/vr <br /> 4. % [bs/Tons/yr 5. / Ibs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: December 31 , 2 018 <br /> Anticipated end use of incideniat conoditie(s} to be mined: ___ N~__ _~_. _.__._.__._.w......_._......._._......._ <br />Office of Office of <br />Mined (.and Reclamation Denver • Grand Junction Durango t+c ive and Inacaive Mines <br />