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<br />0 0 <br />HATE OF COLORADO <br />DIVISION of MINERALS AND GEOLOGY RECEIVED <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver. Colorado 80203 MAY 18 2001 o 1 v 1 S t O N O F <br />Phone: (3031866.3567 CONSTRUCTION MATERIALS 1`II11 M I N E RA L 5 <br />FAX: (303) 832-8106 <br />REGULAR (112) OPERATION tL <br />Division of Minerals and Ceolo I E O L O G Y <br />RECLAMATION PERMIT APPLICATION FORM A E C L A As A T 1 0 N <br />M1NtNG•SAFETY <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />Permit # N -L- 485 -_ (Please reference the file number currently assigned to this <br />fined operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />X_ Conversion Application (Rule 1. 11) <br />Permit # --M_- 7 7 - 48 5 - (provide for Amendments and Conversions of existing permits) <br />2. <br />3. <br />4. <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Executive Director <br />Michael 8. Long <br />Division Director <br />The application for a Constntction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form: <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotochnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete sismed and notarized IVORY ORIGINAL and four (4) copies of the completed fYar <br />application form, five (5) copies of Exhibits A-S, Addendum 1. appropriate sections of 6.5 (C,eotechnical 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 I h" or 8 12" 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 clearty, In the space provided, all Information described below. <br />Apalicant/operator or rnmpaurpame sgMe to be used on permit): <br />RACA COUNTY <br />1.1 Type of organization (corporation, partnership, etc.): GOVERNMENTAL ENTITY <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: _ 84-6000744 <br />Operation name (nit, mine or site name): GRAVEL PIT NO. 8 <br />Permitted acreage (pew or existing site): 4.1 permitted acres <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />15.9 acres <br />160.0 acres <br />EM <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 />52.344.00 application fee <br />$2.906.00 quarry application <br />S l .938.00 amendment fee <br />S2.344.00 conversion fee <br />5. Primary commoditlets) to be mined: SAND GRAVEL <br />5.1 Incidental commoditie(s) to be mined: 1. Ibs/Tons/vr 2. / ibs/Tona/vr 3.. / lbs/Tons/vr <br />4. / Ibs/To?/ya 5. / lbs/ToPs/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: WHEN SAND/GRAVEL IS DEPLETED <br />5.3 Anticipated end use of incidental c omi moditie(s) to be mined: NIA