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s/ <br />STATE OF COLORADO <br />KEGEIVED <br />/ <br />DIVISION OF RECLAMATION, NING AND SAFETY% <br />Department of Natural Resources (// <br />1313 Sherman St., Room 215 JUN 12 2008 <br />Denver, Colorado 80203 COI D O <br />Division of Reclamat " t v 1 o h o f <br />Phone: (303) 86ti 356' NATION <br />FAX: (303) 8323106 CONSTRUCTION MATERIALS Mining and Safety I N I NG <br />REGULAR (112) OPERATION - &- <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />Bill Riner, Jr. <br />Governor <br />CHECK ONThere is a File Number Already Assigned to this Operation Harris D. Sherman <br />Executive Director <br />Permit # M {Please reference the file number currently assigned to this operatiTA.'d W C'nany <br />New Application. (Rule 1.4.5) Amendment Application (Rule 1.10) Diviaion Director <br />Natuml Resource Trustee <br />-Conversion Application (Rule 1.11) <br />Permit It ._ h1 (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 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application tee. When you <br />submit your application, be sure to include one (1) complete signed 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 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; neaps should be folded to <br />8 l r2" X I I " or 8 112" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />CrL;NERAL. OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. A <br />1. Applicant/operator or company name (name to be used on permit): Yuma County <br />I.I Type of organization (corporation, partnership, etc.): Coun Government <br />2. Operation name fpit, mine or site name): Moser Pit <br />3. Permitted acreage (new or existing site): 38.57 permitted acres <br />3.1 Change in acreage O acres <br />3.2 Total acreage in Permit area -------- - acres <br />4. Fees: <br />4.1 New Application $2,696.00 application tee <br />4.2 New Quarry Application. quarry application <br />4.4 Amendment Fee iirnendniL'rit t'l=e <br />4.5 Conversion to 1 12 uperatkm (set by Stalwe) 96 60 0 crin ersion fee <br />5. Priman connnaditie(s) to be mined: .Gravel Sand Borrow <br />5.1 Incidental commoditie(s) to be mined: I - .----- .......---- __..-....-...._......__ ._.._lbs:'I;r?n ;?...._.----.___--_,' .................... .....lrs,'=1:e?itsi?t <br /> 3. lbsrrons,,'Y_r 4.........___.__..._.-___ 5.....------.-----_i_..___.-- ---- Ibti_a=unslyr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: construction materials__.-__-_--__-. <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: NA <br />Office of <br />Mined Land Reclamation <br />Denver • Grand Junction • Durango <br />0(fice of <br />Ar,tive and Inactive Mine,.