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Y� <br />soltl ,�i� STATE OF Q0 <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 C O L O RA D O <br />Denve Colorado 80203 DIVISION O F <br />Denv Col 866-3567 CONSTRUCTION MATERIALS RECLAMATION <br />FAX: (303) 8328106 REGULAR (112) OPERATION MINING <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />Sill River, Jr. <br />Covemor <br />CHECK ONE El There is a File Number Already Assigned to this Operation Harris D sfemm <br />P M - 2 - 1 -_ (Please reference the file number currently assigned to this operatioxjec —e Dimarw <br />New Application (Rule 1.4.5) -I V F Amendment Application (Rule 1.10) RO Id w. Caw <br />Division Dimow <br />Conversion Application (Rule 1.11) Natural ReO1°`e rn'riee <br />Permit # M _ 2000 156 _ (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 sis?ned and notarized ORIGL`AL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A S, Addendum 1, appropriate sections of 6.5 (Geoteehnical 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 l l" or 81%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 />I. Amp cent/operator or company name (name to be used on permit) Coulson Excavating Co., Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. <br />Operation name (pit. mine or site name) Bonser Pit <br />3. Permitted scree a new or existin 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 commoditie(s) to be mined Gravel <br />90 permitted acres <br />+ acres <br />146 acres <br />$2,696.00 <br />application fee <br />$3,342.00 <br />quarry application <br />$2,229.00 <br />amendment fee <br />$2,6%,00 <br />conversion fee <br />Sand <br />5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr 2. / lbs/Tons/�r <br />3. / lbs9ons/vr 4. / lbs/Tons/yr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction Materials <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of <br />Mined Land Reclamation <br />Denver • Grand Juriction • DurarW <br />Office of <br />Active and Inactive Mines <br />Nov 3 0 ZOOM <br />Divir4n of Reclamation, <br />Wining and Safety <br />