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<br />STATE 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 2Qp? D I V I S t O N O F <br />Phone: (303) 866-3567 CONSTRUCTION MATERIALS M I N E RA L S <br />FAX: 13031832.8106 REGULAR (112) OPERATION & <br />Division of Minerals and 68010 )GE O L O G Y <br />RECLAMATION PERMIT APPLICATION FORM it F C LA M A T I O N <br />MINING-SAFETY <br />Bill Owens <br />CHECK ONE: There is a File Number Atreadv Assigned to this Operation Governor <br />Crea E. Watcher <br />Permit lti -M---Z-7-A-85 -, (Please mference the file number currently assigned to this operation) Ewu,ive Director <br />Michael P. Long <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Division Direcar <br />X_ Conversion Application (Rule 1.11) <br />Permit # _ 1M ,-77- 485 - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (])the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of 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 ed and named NORY ORIGINAL and four (4) copies of the completed Ivory <br />application form, five (5) 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 1 I" 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 clearly, in the space provided, all information described below. <br />1. Alp <br />RA kant/operator or company name (panne to I used on nermiU: <br />CA COUNTY <br /> 1.1 Type of organization (corporation, parmersbip. c1e.): GOVERNMENTAL ENTITY <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: A4-6000744 <br />2. Operation name (nit mine or site name): GRAVEL PIT N0. 8 <br />3. P4Lr nitted acreage (new orexisting site : 4.1 permitted acres <br /> 3.1 Change in aereagc (+) 155.() acres <br /> 3.2 Total acreage in Permit area 160.0 acres <br />4. EW : <br /> 4.1 New Applicstion 52.34400 application fee <br /> 4.2 New Quarry Application $2.906.00 quarry application <br /> 4.4 Amendment Fee 51.938.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) _ 2.344.00 conversion fee <br />5. Primary commoditie(s) to be mined: SAND GRAVEL <br /> 5.1 Incidental commoditie(s) to be mined: 1. / IbsITion r 2. / lbsrToos/v _r 3. / bsYTonssi r <br /> 4. 1 Ibs/foas/vr 5. / Ibs/ on% hj <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 commoditie(s) to be mined: N/A