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<br />0 0 <br /> <br />STATE OF COLORADO <br />DIVISION OF MINERALS GEOLOGY RECEIVED Department of Natural l Resources ces <br />1313 Sherman St., Room 215 <br />Denver. Colorado 80203 MAY 18 2001 0 l v I s t o N O F <br />Phone; 1303) 8ti6.3567 CONSTRUCTION MATERIALS M I N E RA L S <br />FAX: 1303! 832.8106 REGULAR (112) OPERATION & <br />Division of Minerals and Geolo VG E O L O G Y <br />RECLAMATION PERMIT APPLICATION FORM R EC L A M A T 1 o H <br />MINING-SAFETY <br />CI-<ECK ONE: There is a File Number Already Assigned to this Operation <br />Permit # bl 7 7 - 485 -_ (Please tlefereoce the file number currently assigned to this operation) <br />Bill Owens <br />Governor <br />Greg E. Walcha <br />Executive Director <br />Michael 8. Long <br />Division Direclor <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />_X Conversion Application (Rule 1.11) <br />Permit # _M -- 71 - 485 _ (provide for Amendments and Conversions of existing permits) <br />The application for a ConstructiOn Materials Regular 112 Operation Reclamation Permit contains time major parts: (1) the application form: <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotachnicai Stability Exhibit, and (3) the application fee. When you submit your <br />application, be sure to include one (1) ccamRiate sinned and notarized IVORY ORIGINAL and four (4) copies of the completed vo <br />application form, five (5) copies of Exhibits A-S, Addendum i, appropriate sections of 6.5 (Geotecbnica) Stability E.xbibit, 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 />8 112" 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 />Agglicant/operator or company game pMe to be used on permit): <br />BACA COUNTY <br />1.1 Type oforganization (corporation, pe t embip. etc.): GOVERNMENTAL ENTITY <br />1.2 I.R.S. Tax 1.1). No. or Social Security Number: 84-6000744 <br />2. Operation name (pit mine or site name): GRAVEL PIT NO. 8 <br />3. Perm itted acreage (new or gZhdng site : 4.1 permitted acres <br />3.1 Change in acreage (+) 155.4 acres <br />3.2 Total acreage in Permit area 160.0 acres <br />4. Fetes : <br />4.1 New Application 52,344.00 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) 2.344.00 conversion fee <br />5. Primarv commoditle(s) to be mined: AND GRAVEL <br />5.1 Incidental commoditie(s) to be mined: 1. / lbs/fonslvr 2. ! Ibs/togstv r 3 <br />/ Iti <br />a <br />t <br /> . g <br />r <br />ouss <br /> 4. ! Ibs/I ons/vr 5. 1 lbsffonl 6 r <br />5.2 Anticipated end use of primary commoditie(s) to be mined: WHEN SAND /CRAVEL IS DEPLETED <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: NIA