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<br />STATE OF COLORADO <br />r' <br />DIVISION OF RECLAMATION, MINING AND SAFETY ?[???? <br />Department of Natural Resources <br />1313 Sherman St., Room 215 i <br />/is ?•l? <br />/ NOV 13 200 <br />Denver, Colorado 80203 v COLORADO <br />Phone: (303) 866-3567 Division o. r<eclam v t s t o N OF <br />FAX: (303) 832-8106 CONS'T'RUCTION MATERIALS N!;ning and Saf ty <br />G N <br />MINING <br /> REGULAR (112) OPERATION - &_ <br /> RECLAMATION PERMIT APPLICA'T'ION FORM SAFETY <br />Bill Ritter, Jr. <br />Governor <br />CHECK ONE: -There is a File Number Already Assigned to this Operation Harris D. Sherman <br />Executive Director <br />Permit ;i M - - (Please reference the file number currently assigned to this operati <br />9?Aaia w. caiWr,r <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Division Director <br />Natural Resource Trustee <br />X Conversion Application (Rule 1.11) <br />Permit # M - 2 0 - 01 - 0 7 7 (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (L) the application <br />form; (2) Exlu`bits 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) comnlete sigged 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, andacheck 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 1/2" 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 companv name (name to be used on permit): Rio Blanco County <br />1.1 Type of organization (corporation, partnership, etc.): Government <br />2. Operation name (pit, mine or site name): Piceance Pit <br />3. Permitted acreage (new or existing site): 9.93 permitted acres <br />3.1 Change in acreage (+) 2 4 . 2 0 acres <br />3.2 Total acreage in .Permit area 3 4 . 1 3 acres <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion. to 112 operation (set by statute) <br />5 <br />Primary commoditie(s) to be mined: Gravel Sand'; <br />5.1 Incidental commoditie(s) to be mined: E - lbsi`Tons/yr <br />3. ! lbs/Tons/vr 4. _ r 1bsrjgn§lyr <br />5.2 Anticipated end use of primary commodirie(s) to be mined: Road Base <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of <br />Mined Land Reclamation <br />Denver • Grand junction • Durango <br />Office of <br />Active and Inactive Mines <br /> <br />$2,696.00 application tee <br />$3,342.00 quarry application <br />_ sa X9.00 amendment fee <br />$2,,096.00 conversion tee <br />2 lbsf Tonstvr <br />5.