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STATE OF COLOMDO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-356,' <br />FAX: (303) 832-3106 CONSTRUCTION IMATER.IALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERNMIT APPLICATION FORM <br />COLORADO <br />D I V I S I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bilf Ritter, Ic <br />Gwemor <br />CHECK ONE: X "There is a File Number Already Assigned to this Operation Harris D. Sherman <br />Executive Director <br />Permit # M - 087 038. (.Please reference the file number currently assigned to this operatiT <br />aid W. Cattany ' <br />New Application ('R le 1.4.5) X Amendment Application (Rule L I0) Division Director <br />Natural Resource Trustee <br />Conversion Application (Rule 1.l 1) <br />Permit ## M -087 -038 - (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 fee. 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; maps should be folded to <br />8 1/2" X 11" or 8 1r2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />1. Applicant/operator or company name (name to be used on permit): Oldcastle SW Group, Inc.-dba: Four <br />1.1 Type of-o?anization(corporationpartrnership, Corners Materials <br />, etc.): corporation <br />2. Operation name {nit mine or site name): Bayfield Pit 90.1 <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New, Application <br />4.2 Ner Quarry Application. <br />4.4 A.--nendrrlent flee <br />4.S Conversion. W 112 operation. (set by statute) <br />5. Primary co;< moditiefs) to be rained: Sand <br />5.1 Incidental. commoditie(s) to be mined: <br />3. lbstTons/W <br />69.23 permitted acres <br />15.6 acres <br />84.83 - acres <br />$2.696.00 application fee <br />,42.00 quarry application <br />X .Z,229,00 arnendinent fee <br />.469641Q.. conversion fee <br />gravel <br />I - `lbs/Tons!;T 2. ' Ibs;"I' rslvr <br />4. I ibs?Ions_r? 5. it lbst`hyns/yr .U <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />5.3 Anticipated end use of incidental commoditie(s) to be mined <br />Om <br />irn <br />construction materials , <br />v <br />vnICe Of <br />;dined Land Reclamation Office or <br />Denver - Grand junction - Durango Active and Inactive Mines