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STATE OF COLORADO <br />ntvtstoN of ~cl.~aTtort, ~ativln~i~i~r[>r sA~nr <br />Deparrmetn of *~tura! Beware ~~~``. ~~` <br />T3T3 Sherman St., Room 2T5~ <br />Denver, Cniarada 80243 ' ~, j~ C O L O R A D O <br />Phor»er (303) 86G-3567 ~ ~J ~~ ,~ o i v i s r o N o r <br />FAX:1343) 832-8146 ~P~ ~e~°2mat°4 ~OiYSTRLtC'TION MATERIALS RECUIMATION <br />MINING <br />~'v°S~~n9aRECLAMATION EIL'YIIT APPL GA© ©N FOR.2VI SA & Y <br />Bi[t Ritrer, it <br />Covemor <br />CHECK ©NE: There is a File iYamber Already Assigned to this ©peratiou Harris o. sher„san <br />ExectRive Director <br />Permit # ~ - - -~ (Please reference the file number cauremly assigned to this opeT~ati~a~a~ °,~ Carr.~ny <br />% Ne~v Application (Rule t.4.5} Amendment Application (Rule 1.10) iaiv+siEyn Dirertor <br />Natural Rescwrce Trustee <br />Coaversion Application (Rule 1. i i ) <br />Permit # _ M ~~- -~__ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 1 t2 Operation Reclamation Permit contains three major parts: (i) the application <br />form; (2} Exhibits A-S, Addendum i, slay seetiorTS of Exhibit b.5 (Creotechnical Stability Exhibit; and (3} the application fee. When you <br />submit your application, be sure to include one (1} comulete signed and notarized QRIGINAL and one (!) copy of the completed <br />application fomT, two (2) copies of Exhibits A-S, Addendum I, appropriate sectiot~ of 6.S (Geatechnical Stability Exhibit, and a check for <br />the application fee described under Section (~) below. Exhibits should MOT be bouaul yr in a 3-ring binder; maps should be folded to <br />8 112" X 1 i " or 8 I f2" X 14"size. Ta expedite processing, please provide the iuformatian in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, In the space provided, ~ information requested below. <br />- - - . - --- <br />1. Applicant/aoerator or eomnanv name (name to be used onpermitj: Southwest Farms , Ir1C . <br />1.1 Type of organization (corporation, partnership, etc.}: Corporation. -~ <br />2. Oaeration name fait, mine or site name): Blue Grass Gravel Pit <br />3. Permitted acrease (new or existing site): <br />3.I Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New C~uarry Application <br />4.4 ATnendrnent Pee <br />~.5 Conversion to 112 ope*aiicxi (set by statute) <br />5. Primary catnmoditEefs)_to be rni;aed: Sand Gravel Fill <br />5.1 Ixacidental comaaroditie(s} to be rained: 1. - ibsi'I'onsiyr <br />2. 1` IbSJTonslYl <br />3. ~ IbsJTonsivr d, 1 IbsTTons/vr 5. r' IbsrTons! <br />Construction Material, Fill, Asphalt, Concrete <br />5.2 Anticipated eTxi use of primary commoditie(s) to be mined: ______-----________......___.~..,.____. <br />5.3 Anticipated end use of incidental commoditie(s) to be Trained: <br />+ /- 3 2 3 . 0 pc;rnaitted acres <br />acres <br />+ j - 3 2 3 .0 acres <br />~2zb94,1IQ application tee <br />~3.342.8Q quarry application <br />~2.229,tlt} amendment fee <br />52,., conversion fee <br />s __..... <br />C7itice of C)tfice of <br />ivtined i_arrd ttedamaiion t?enver • Grand luttctiort Durango Active and tractive Mines <br />