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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman 5t., Room 21.5 <br />MpeWED <br />Denver, Colorado 80203 JUL 2 2009 <br />Phone: (303; 866-356? <br />FAX: !303:t 832-8106 CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION ()N*10" of Per-10"1 O' <br />ppa?l ing and Safety <br />RECLAMATION PER1'I1T APPLICATION FO Li, <br />COLORADO <br />I) IV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr- <br />Governor <br />CHECK ONE: X._____ There is a File Number Already Assigned to this Operation Harris D. Sherman <br />Executive Mrectcv <br />Permit # M - 19 - 9 7 -0 2 7 (.please reference the file number currently assigned to this operati9laatd W. Cattany <br />New Application. (Rule 1.4.5) Amendment Application (Rule 1.10) Division Director <br />Natural Resource Trustee <br />X_ Conversion Application (Rule 1.11) <br />Permit # -_ M -v_ 19-_ 19.- 02 7 (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 I, 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; neaps should be folded to <br />8 1,12" X 11" or 8 112" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENEIZAI..OPEIZATION [NFORMATiON <br />Type or print clearly, in the space provided, ALL information requested below. <br />1. Applicant/operator or company name (name to be used on permit): _ <br />1.I Type of organization (corporation, partnership, etc.): Company <br />A_J. Botti Construction and Gravel <br />2. Operation name (pit, mine or site name): Moonscape Pit <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <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 commnoditie(s) to be mined: Sand Gravel <br />5.1 Incidental commod:itie(s) to be mined: I: Topsoil 0001bsP .on: itir <br />3. Ibs/Tons/• _`r 4......_....___._.._:._.__._.__,.....- lbs 'I'onsiyr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Roadbase <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: Reclamation <br />7.57 <br />permitted acres <br />14.08 <br />_ acres <br />21.65 <br />acres <br />$2,696.00 application fee <br />$3,342.00 quarry application <br />$2,229,00 amendment fee <br />$2 a96.0{l conversion fee <br />? OVB 2, 0 0 Qbs: fon. 'vr <br />5. lbs_`fons!yr <br />------------- <br />Office of office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines