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<br />• <br />HATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources LZT <br />1113 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Plane: (303) 866-3567 CONSTRUCTION MATERIALS FAX: (]03) 832-8106 REGULAR (I12) OPERATION RECLAMATION PERMIT APPLICATION FOltlbi RECEIVE MAY 18 2001 Bill Governor <br />Owens <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />Division (Miners s a d G Gres E.vc alcher <br />permit # m- 77 - 484 (Please reference the file number currently assigned to tius opera Ion st Iyf <br />Michael 8. Long <br />New Application (Rule 1. 4.5) Amendment Application (Rule 1.10) avision Director <br />% Conversion Application (Rule 1.11) <br />Permit # Irv (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Mawrials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form: <br />(2) Exhibits A-S, Addendtnn 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) e;QU ete sigged and notarized IVORY ORIGINAL and four (4) copies of the completed No <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geoteehnical 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 12" X I V or 81/2" 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 />L Apokant/onerator or company name (Dame to be Deed on permit <br />BACA COUNTY <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. OpI M000 name (pit, mine or site name): GRAVEL PIT NO. 7 <br />3. Perm itted acreat2p (Dew or existhrg site): 1.7 permitted acres <br /> 3.1 Change in acreage (+) 158.3 _ acres <br /> 3.2 Total acreage in Permit area _ 160- acres <br />4. FeMae : <br /> 4.1 New Application 12344.00 application fee <br /> 4.2 New Quarry Application 52,906.00 quarry application <br /> 4.4 Amendment Fee 1,238,00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) 52,344.00 conversion fee <br />5. Prim ary commodhle(s) to be mined: GRAVEL SAND <br /> 5.1 Incidental commoditie(s) to be mined: 1. / Ibs/Tons/vr 2. / lbs/To yr 3. / 1 sfTonshn <br /> 4. / lbwTons/vr 5. / Ibsf Ton <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: WHEN SAND AND GRAVEL SUPPLY IS DEPLETED <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A