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t <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver Colorado 80203 <br />Phone. (303) 866-3567 <br />FAX: (303) 832-8106 <br />J.UNCX'? MAY 0 5 2009 <br />sus, _ GRAND JUNCTION FIELD Ma <br />'.P' DIVISION OF <br />CON MATERIAL AMaTION MINING 8 SAFETY <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />.1-0 - 7-009 - 036- <br />COLORADO <br />D I V I S I O N OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr. <br />Coverrm <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 operati9old W. Cauany <br />XC New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Div;sim' Director <br />Natural Resource Tmstee <br />Conversion Application (Mule 1.11) <br />Permit # M - (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) ccomplete signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies ofExlubits A-S, Addendum 1, appropriate sections of6.5 (Geotechnical StabilityExlubit, and a check far <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. Apnlicant/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): 30.48 permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 Total acreage in Permit area 30.48 acres ' <br />4. Fees: <br />4.1 New Application &.6_9 6. 0 0 application fee <br />4.2 New Quarry Application 53342 60 quarry application <br />4.4 Amendment Fee 52,229.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) 52,0640 conversion fee <br />5. Prim ary commodit e(s) to be mined: Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. 2 2 5 , 0 0 0 Ibs/Tons/yr 2. / lbs/Tons/vr <br /> 3. / Ibs/Tons/vr 4. / IbsMns/vr S. / l?s?onslvr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road Base <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: