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? OIIgININNOW <br />999 <br />HATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver. Colorado 80203 <br />RF <br />LPhone: (303) 866-3567 CONSTRUCTION MATERIALS ? <br />FAX: (3031832 8106 REGULAR (112) OPERATION ??/? ?O <br />RECLAMATION PERMIT APPLICATIRM /,f of4jj%44 <br />CHECK ONE; There is a File Number Already Assigned to this Operation ary?C°o7og1' <br />Permit # 1_y,_- 78. 225. L (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />X Conversion Application (Rule 1.11) <br />Permit # M .78 .225 - L (provide for Amendments and Conversions oferisting permits) <br />DIVISION o <br />MINERALS <br />6c <br />GEOLOGY <br />.RECLA14AT10N <br />AINING•SAFETY <br />Bill Owens <br />Governor <br />Greg E. Watcher <br />f¦ecurive Oirecror <br />Michael8 Long <br />Division Director <br />The application for a Construction Materials Regular 112 Operation Reclamatioa Permit contains three major parts: (1) the application form, <br />(2) Exhibits A-S. Addendur n 1, any sections of Exhibit 6.5 (Gemechnical Stability Exhibit, and (3) the application fee. When you submit your <br />application, be stare to include one (1) e, ap ete sigged stud notarized IVORY ORIGINAL and four (4) copies of the completed 1_yM <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 NO 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 described below. <br />! . Uplkant/onerator or MEDa ny now (gam to be used onpermN): <br />BACA COUNTY <br />1.1 Type of organization (corporation, partnership, etc.): GOVERNMENTAL ENTITY/ROAD S BRIDGE DISTRICT III <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-6000744 <br />pw '411 <br />2. Owratioa name (l t mine or site Hamel: McVEY PIT <br />3. Permitted pereasne (new or ettblift ske?: _ 8.5 permitted acres <br />3.1 Change in acmage (+) <br />151.43 acres <br />3.2 Total acreage in permit area 160.00 acres <br />4. Fees: <br />4.1 <br />4.2 New Application <br />New Quarry Application Sj 34 l.00 application fee <br /> <br />4.4 <br />Amendment Fee 52.906.00 quarry application <br /> <br />4.5 <br />Conversion to 112 operation (set by statute) 51.938.40 amendment fee <br /> 2 344.0 conversion fee <br />5. Prtmarv commoditie(s) to be mined: SAND GRAVEL <br />5.1 Incidental commoditie(s) to be mined: 1. / 16 /f oos„?lvr 2. lbclfoRa/vr 3. / Ibs/1'olrs/vr <br /> 4. / lbs/fonslvr 5. 1 lb ons/vr <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 mined: -NIA-