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? BIINItlIBllll64 <br />9.q 9 <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 />ft <br />A?_? <br />Phone: (303) 866-3567 CONSTRUCTION MATERIALS <br />FAX: (3031832 8106 REGULAR (112) OPERATION <br />??tt ??/? ?O <br />RECLAMATION PERMIT APPLICATIt71'Q'??hRM 1 g?oOl <br />014- <br />9HECK O There is a File Number Already Assigned to this Operation Y <br />Permit # M - 78. 225. L (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule L I0) <br />X Conversion Application (Rule 1.11) <br />permit # M .78 -225 - L (provide for Amendments and Conversions of existing permits) <br />DIVISION 0' <br />MINERALS <br />GEOLOGY <br />.RECLAMATiON <br />MINING-SAFETY <br />Bill Owens <br />Governor <br />Greg E. Watcher <br />E-ecudve Oirecror <br />Michael8 Lang <br />Omsion 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, anvv sections of Exhibit 63 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) gMplete sipped and notarized IVORY ORIGINAL and four (4) copies of the completed 1= <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 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 />1. An <br />R plicantloperator or company game jpano be gged on Perm <br />ACA COUNTY <br /> 1.1 Type of organization (corporation, partnership, etc.): GOVERNMENTAL ENTITY/ROAD & BRIDGE DISTRICT III <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-6000744 <br /> Y <br />IT -N <br />3-46 <br />2. Op t <br />P <br />eration name (pit, mine or age oame): McVE <br />3. Per mitted acreatte (new or existint site?: $.57 permitted acres <br /> 3.1 Change in acreage (+) 151.43 acres <br /> 3.2 Total acreage in Permit area 1_60.00 acres <br />4. Fees: <br /> 4.1 New Application 52,344.00 application fee <br /> 4.2 New Quarry Appi ication $2.906.(10 quarry application <br /> 4.4 Amendment Fee $),938-00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) 52344.00 conversion fee <br />5. Primarv commoditie(s) to be mine : SAND GRAVEL <br /> 5.1 Incidental commoditie(s) to be mined: 1. 1 lbsi Tons yrr 2. ! lb_JTons/vr 3. / lbsaons/vr <br /> 4. / Ibs(fonslvr 5. ! lbslfonsh+r <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 [Wined: N/A