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STA <br />LORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Z?DA ©7 (?, / <br />Department of !Natural Resources ffi_ 6 J V MAY 0 5 2009 ? <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 GRAND JUNCTION FIELD OFFICE <br />Phone: 1303? 866-3567 CONSTRUCTION MATER AMATION MN DIVISION 8 SAFETY <br />FAX: 1303) 8322--8108106 <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />-f Nlt" <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />MAY 12 ?0098r1 Ritter, Jr. <br />Governor <br />CHECK ONE: There is a File Number Already Assigned to this Operation DiA6ion of ReG1;.1M A0D. rman <br />i, s and Safutive Director <br />Permit # M (Please reference the file number currently assigned o?t 1 operatiVAaid W. Cattany <br />XC° New Application Rule 1.4.5) Amendment Application (Rule 1.10) Division Director <br />( Natural Resource Trustee <br />_ --Conversion Application (Rule 1.11) <br />Permit # (provide for Amendments and Conversions of existing permits) <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 1, 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 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 />'T'ype or print clearly, in the spate provided, ALL information requested below. <br />Applicant/operator or company name (name to be used on permit): Urie Rock Company <br />1.1 Type of organization (corporation, partnership, etc.): Corporation _ <br />2. Operation name (pit, mine or site name): Urie Gravel Pit <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage N <br />3.2 Total acreage in Permit area <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 commoditiefs) to be mined: Gravel <br />5.1 Incidental commoditie(s) to be mined: t. 2 2 5 , 0 0 0 lbs/ Tons/yr <br />3. t lbs/Tons/yr 4. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road Base <br />30.48 permitted acres <br />acres <br />30.48 acres <br />$2,.696.00 application fee <br />$3,342.00 quarry application <br />$2,229,QO.. amendment fee <br />$1,696.00..., conversion fee <br />2. % tbs./Tons/yr <br />5. lbsfrons/vr <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: