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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MININC AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 C O L O R A D 0 <br />Denver, Colorado 90203 D I V t S 1 O N U r <br />Prone: (303) 866.3567 RECLAMATION <br />FAX: (303) 832 8706 CONSTRUCTION MATERIALS MINING <br />REGULAR (112) OPERATION SAFETY <br />RECLAMATION PERMIT APPLICATION FORM <br />Hill Ritter, Ir. <br />Gevemur <br />CHECK OIk1': There Is a File Number Already Assigned to this Operation Harris D. Sherman <br />Executive Director <br />Permit 4 M (.Please reference the file number currently assigned to this opertttig ggald tv. catrany <br />X New Application Rule 1.4.5) Amendment Application (Rule 1.10) Division Director <br />{ NaIUW Resource Trustee <br />-Conversion Application (Rule 1.11) <br />Permit !l (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) Fxhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. Whenyou <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (I) copy of the completed <br />application form, two (2) copies ofExhtbits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, andacheekfor <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; traps should be folded to <br />S 1/2" X I 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 />All Paving ? Redi-M:ix, Inc. <br />1. Applicantloperator or company name (name to be used on Permit): <br />1.1 Type of organization (corporation, partnership, etc.): Corporation __ - _ <br />Proctor Pit <br />2. Operation name (pit, mine or site name): <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (-I) <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 />Gravel Sand <br />5. Primarv_comM2ditie(s1 to be mined:.____ --- <br />3.1 Incidental commoditie(s) to be mined: 1. a-.,______, 16 ions_-T <br />_ permitted acres <br />n/a <br />acres <br />51 <br />acres <br />$2,696.t& application fee <br />U.342 110 quarry application <br />$2,229.1 fl,? amentltrteut fee <br />$46 10 conversion fee <br /> <br />3.- 1 1b,0'ons/?-T 4..,„__.__-_. 1?isJ??ons!yr 5...._____ Ih§M9.gs/yr <br />Construction materials (road base, paving aggregates, bedding, <br />5.2 Anticipated end use of primary commoditie(s) to be mined: _ <br />5.3 Anticipated end rise of incidental commoditie(s) to be mined: ...___._...----.-___--- ---•-•-.-------...------ -. ----....... <br />office of office of <br />Mined Land Reclamation Denver - Grand )unction • Durango Active and Inactive Mines