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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />• Depa:tmew of Natural Resources <br />1313 Sherman St., Room 215 <br />COLOR-ADO <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 o r v t s r o nt o f <br />RECLAMATION <br />FAX: (303) 832-8106 CONSTRUCTION MATERIALS MINI NG <br />REGULAR (112) OPERATION -&- <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />Bill Ritter, Jr- <br />Governor <br />CHECK ONE: There is a File Number Already Assigned to this Operation Harris D. Sherman <br />Executive Director <br />Permit # M - - (Please reference the file number currently assigned to this operaticp <br />pId ,y cattany <br />X New Application (Rule 1.4.5) Amendment Application (Rule L 10) Division Director <br />Natural Resource Trustee <br />Conversion Application (Rule 1.11) <br />Permit # M - - - (provide for Amendments and Conversions of existing permits) <br />• <br />• <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum i, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) 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 1 I" 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 requested below. <br />1. A olicant/operater or company name (name to be used on permit): Ready Mixed Concrete Company <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />Morton Lakes . <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation. (set by statute) <br />5. Primary commoditie(s) to be mined: Sand and Gravel <br />5.1 Incidental commoditie(s) to be mined: I: - lbs/Tons%yr <br />3. / Ibsrfons/FT 4. lbsiTons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: N. A. <br />Office of <br />Mined Land Reclamation <br />Denver • Grand )unction • Durango <br />180 permitted acres <br />acres <br />180 acres <br />$2,6%,00 application fee <br />$3,342.00 quarry application <br />$2,229.Q0 amendment fee <br />S2A696.00 conversion fee <br />2. Ibs%Tons./yr <br />5. Ibs,gons/vr <br />Office of <br />Active and Inactive Mines