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<br />? MIINIIIINBq? <br />HATE OF COLORADO <br />DIVISION Of MINERALS AND GEOLOGY <br />Department of natural Resources <br />)313 Sherman St.. Room 215 <br />Denver, Colorado 80203 ke DIVISION O <br />Phone: (303) 866.3567 CONSTRUCTION MATERIALS ? ? / ? O M I N E RA L S <br />?/? FAX: (3031832 8106 Z4 <br />REGULAR (112) OPERATION L <br />RECLAMATION PERMIT APPLICATI(?jgRM ?B n G E O L O G Y <br />RECLAMATION <br />MINING•SAPETY <br />an?Cp?p Bill Owen-, <br />9HECK ONE: There is a File Number Already Assigned to this Operation g1' <br />Greg E. Watcher <br />Permit i1 M 78- 225_ L (Ply inference the file number currently assigned to this operation) f"`°""Q o'r"ror <br />Michael8 Long <br />New Application (Rule 1.4.5) Amendment Application (Rule I.10) Dnrsion Director <br />I <br />X Conversion Application (Rule 1.11) <br />Perrot # -M-- 78 -225 - L (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation ReciamOioa Permit contains chase major parts: (1) the application form; <br />(2) Exhibits A-S. Addendum 1, any sections of Exhibit 6.3 (Geotecltnical Stability Exhibit, and (3) the application fee. When you submit your <br />application, be sure to include one (1) ggMaletc stated and notarized IVORY ORI WAL and four (4) copies of the completed Ivry <br />application form, five (5) copies of Exhibits A-S. Addendum 1, appropriate sections of 6.5 (Gootechnical 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 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 provid4 all information described below. <br />1. AArolkanttonerator or gnpaul name (name to be used on permit): <br />BACACOUNTY <br />1.1 Type of organization (corporation, partnership, etc.): GOVERNMENTAL ENTITY/ROAD & BRIDGE DISTRICT III <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-6000744 <br />?r k-11W "16 <br />2. 01mmilonJgame fait nine or al?te name): McVEY PIT -Nt3:--16 <br />3. Perm itted acreate [new or e>rkft site). _ S. V Y pennitted acres <br />3.1 Change in acreage (+) <br />1 <br />T <br />4 <br /> 5 <br />_ <br />-3 - _ acts <br />3.2 Total acreage in Permit area <br /> 16Q. OQ acres <br />4. Ses : <br />4.1 <br />4.2 New Application <br />New Quarry Application $1JA 4.00 application fee <br /> <br />4.4 <br />Amendment Fee $2.906.00 quarry application <br /> <br />4.5 <br />Conversion to 112 operation (set by statute) 11,93A.00 <br />52.344.0Q amendment fee <br />conversion fee <br />5. Primary commoditle(s) to be mined: SAND GRAVEL <br />5.1 Incidental commoditie(s) to be alined: 1. / lbffmL/vr 2. 1 lba/io c/yr 3. / lba/t'orLc/?* <br /> 4. ! lbs/fonslvr S. 1 lb ao-o / f <br />5.2 Anticipated end use of primary commoditie(s) to be mined: UNTIL SUPPLY IS DEPLETED <br />5.3 Anticipated end use of incidental commoditie(s) to be mitred: N/A