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111111111111111111 ? 1 <br />999 STATE t'COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />041•1hlrtmenl 4 Ndtural Resources PW <br />I 113 5hrvmin St.. Roam 215 ALAAA: <br />1'hnrn•: 1 Ill 1186b•3567 <br />FAX: (H).11 83 2.81()6 "-1 <br />DEPARTMENT OF , <br />NATURAL <br />CONSTRUCTION MATERIALS RESOURCES <br />REGULAR (112) OPERATION Roy Romer <br />RECLAMATION PERMIT APPLICATION FORD! Governor <br />lames S. Lochhead <br />Executive Director <br />Michael B. Long; <br />Division Director . <br />CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />_ X Conversion Application (Rule 1.11) <br />Permit M -&_-_ 93 - 087 _ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains <br />three major parts: (1) the application form; (2) Exhibits A-S, Addendum 1, any sections of <br />Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete si ned and notarized IVORY ORIGINAL and four (4) <br />copies of the completed Ivor application form, five (5) copies of Exhibits A-S, Addendum 1, <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee <br />described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps <br />should be folded to 8 1/2' X ll• or 8 1/2' X 14' size. To expedite processing, please provide <br />the information in the format and order described in this form. <br />»-------__••--__...------------------_--_-----=---=3--III_.-==_33_=_Q=--- --_3-..?=3_.•S._..-.Q3--J <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />__-___`---•?_- _--_-----?-_----_-'---------_ -___..^233======3-_.......---3=: <br />'-- A212licant/operator or cm wane name (name to be used O? permit). -- <br />BACA COUNTY ROAD b BRIDGE DISTRICT #1 <br />1.1 Type of organizacion (corporation, partnership, etc.): COUNTY ROAD & -BRIDGE <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-6000744 <br />2. Operation name (pit, mine or site name): WEEDEN LAND 6 CATTLE CO. PIT 'NO. 30 <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 New Quarry Application <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (sec by statute) <br />5. Primary commoditie(s)_ to be mined: <br />9.9 permitted acres <br />150.1 acres <br />160.0 acres <br />51,875.00 application fee <br />S2,325.00 quarry application <br />$3,100.00 milling application <br />S1,550.00 amendment fee <br />$1,875.00 conversion fee <br />5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/v- <br />2• % lbs/Tons/vr 3. / Ibs/Tons/vr <br />4. / lbs/Tons/vr S. lbs/Togs/vr <br /> <br />5.2 Anticipated <br />end use o! primary commoditie(s) to <br />be mined: UN , <br />TIL GRAVEL IS D.P..TED <br />5.3 Anticipated end use o5 incidental commoditie(s) to be mined :