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k /4 - ?Iooq - o b l <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 RECEIVED <br />Denver, Colorado 80203 C O L O R A D O <br />DtvtstoN of <br />Phone: (303) 866-3567 RECLAMATION <br />FAX: (303) 832-8106 CONSTRUCTION MATERIALS AUG 2 5 2009 MINING <br />REGULAR (112) OPERATION ?p -&- <br />RECLAMATION PERMIT APPLICATIORI VAMm°f Reclamation, SAFETY <br />lning and Safety <br />Bill Ritter, Jr. <br />Governor <br />CHECK ONE: There is a File Number Already Assigned to this Operation Harris 0. Sherman <br />Executive Director <br />Permit # M - (Please reference the file number currently assigned to this operatiORA.ld W. Cattany <br />X 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 # __ 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: (L) the application <br />form; (2) Exlu`bits 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 />Type or print clearly, in the space provided, ALL information requested below. <br />1. Applicant/operator or comnanv name (name to be used on permit): Yuma County Road and Bridge <br />IA Type of organization (corporation, partnership, etc.): County _Go PrnmPnt- - Road Maintenance <br />2. Operation name (pit, mine or site name): Weis Pit <br />3. Permitted acreage (new or existing site): 40 permitted acres <br />3.1 Change in acreage (+) ._ acres <br />3.2 Total acreage in Permit area acres <br />4. Fees: <br />4.1 New Application ( $2,696.09, application tee <br />4.2 New Quarry Application $31342.00 quarry application <br />4.4 Amendment Fee $2,229.00 amendment fee <br />4.5 Conversion to 112 operation. (set by statute) $2,496.00 conversion fee <br />5. Primary commoditie(s) to be mined: Road_Ba a Gravel <br />5.1 Incidental commoditie(s) to be nnined: I. lbs/Tons/vr 2. ibsfrons/vr <br />3. / Ibs/Tons/vr 4. ?._..._. ?. _ _..Lbsfrons/yr 5.-. lbsi°Ibnsiyr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road builds- ng_-__?? <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: Road bui 1 <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines