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<br /> <br />' STATE OF COLORADO <br />DIVISION OF MINERALS AND <br />Department of Natural Resources GEOLOGY RECEIVED <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 DIVISION OF <br />MAY 18 <br />Phone: (303) 866.3567 CONSTRUCTION MATERIALS 2001 <br />M I N E RA L 5 <br />FAX: 1303! 832.8106 REGULAR (112) OPERATION L <br />Divislatt of Minerals and Gealo ) E O L O G Y <br /> RECLAMATION PERMIT APPLICATION FORM a E C L A M A T I O N <br /> MINING-SAFETY <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />Permit # M --17 - 485 -_ (Please cefeteace the file number ctuteotly 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-- 7 7 - 485 - (provide for Amendments and Conversions of existing permits) <br />Bill Owens <br />Governor <br />Greg E. Watcher <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Construction 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 (Geotachaical Stability Exhibit: and (3) the application fee. When you submit your <br />application, be sure to include one (1) ccwttlete sunned and notarized IVORY ORIGINAL and four (4) copies of the completed JXW <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 11" 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 />I. Agg <br />RA llcaul/o.Mrator or company name (tame to be used on permit <br />CA CO INTY <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 />2. Ope ration name (nit mine or site name): GRAVEL PIT NO. 8 <br />3. Per mitted acreage (new s: 4.1 permitted acres <br /> 3.1 Change in acreage (+) 155-q acres <br /> 3.2 Total acreage in Permit area 160.0 acres <br />4. FcfE.1 : <br /> 4.1 New Application $2,344.00 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 4 conversion fee <br />5. Primary commoditie(s) to be mined: AND GRAVEL <br /> 5.1 incidental commoditie(s) to be mined: 1. / lbsrfons/yr 2. Ibs/1'o nlft 3 <br />/ Ibs/To <br />/ <br /> . as? <br />r <br /> 4. / Ibs[f ns/vr 5. / ibs/T ons/yr <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 commodite(s) to be mined: -NIA