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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY i <br />Department of Natural Resources O ?J <br />1313 Sherman St., Room 215 ?( 1 I COLORADO <br />Denver, Colorado 80203 CONSTRUCTION MATERIALS`? 4v4 *N D I V I S ION Of <br />Phone: (303) 866 35567 67 RECLAMATION <br />FAX: (303) 832-8106 REGULAR (112) OPERATION MINING <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />8111 Ritter, Jr. <br />CHECK ONE: 0 There is a File Number Already Assigned to this Operation Governor <br />Hams D. Sherman <br />ff ' <br />Director <br />Pe> M - 1,979 - 131 (Please reference the file number currently assigned to this operatlo>arris D. <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.14) Ronald W. Cattany <br />Division Director <br />Conversion Application (Rule 1.11) Natural Resource Trustee <br />Permit # M -1979 _ 131 _ (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 sinned 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 />Applicant/oyerator or company name (name to be used on permit): Korin^^eggk Sand and Gravel ?+ <br />1.1 Type of organization (corporation, partnership, etc.): sO k'c P4<2 /1 !C LQee 16PA?.?; .1Pt, <br />2. <br />Operation name (pit, mine or site name): KOrinek #1 Pit <br />Permitted acreat_e (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. <br />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 />8.5 <br />RECEIVED 36.7 <br />SEP 7009 <br />Divis;on c..., <br />Primary commoditie(s) to be mined: Sand gravel (RUC <br />5.1 Incidental commoditie(s) to be mined: 1. lbs/Tons/vr <br />permitted acres <br />acres <br />45.2 acres <br />r $"2,6"9"6..00 00 1 application fee <br />n <br />,6 <br />l _ $2,1219 qua application <br />amendment fee <br />{ $2,696.00 conversion fee <br />2. / lbs/Tons/vr <br />3. / lbs/Tons/yr 4. / lbs/Tons/vr 5. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: road base for construction <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of <br />Mined Land Reclamation Denver 9 Grand Junction • Durango Active and Inactive Mines