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STATE OF <br />DIVISION OF RECLAMATION, MINING AND SAOEIY <br />DqaaVW9 of Natant Rssoaaares <br />1313 Umma n St, Roam 216 <br />Deavax, Colando x0203 ,(/ COLORADO <br />D&W (303) ab635b7 CONSTRUCTION MATERIALS ?` DI VISION o Of <br />Phom FAX poi) 832. 106 REGULAR (112) OPERATION ` MIL NGON <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />tNN RNM,1r. <br />O: There Is a File Number Already Ass%ned to this Operation CAWW or <br />P ?--2 O01 _ one IbD. S mmo <br />(Please reference the file number mroa ly assigned to this op ratioace Dweew <br />New Application (Rule I A.5) Amendment Application (Rule 1.10) <br />Conversion Application (Role 1:11) wed TnXW <br />Permit # .2001 069 (provide for Ammdmments and Conversion of existing permits) <br />The applies for a Construction Materials Repl ar 112 Operation Reclamation Permit contains three mayor parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Gootechnical Stability Exhibit; and (3) the application fee. Wheat you <br />submit your application, be sure to include one (1) complete signed and notarized QAMAL and one (1) copy of the completed <br />application form, two (2) copies of EXhfbits A-S, Addendum 1, appropriate sections of 6.3 (Geoteelmical StabilityExhibit, nand a checlcfor <br />the application fee described under Section (4) below. Exhibits should = be bound or in a 3-ring binder; maps should be folded to <br />S 112" X 11" or 8112" X 14" size. To expedite processing, please provide the inf nmation in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, In the space provided, AM inform don requested b&w. <br />v 1. &2jMat/Q for or_gInyanv name (name to be need on mmftl. Asphaft Constructors, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Oper ation name (oft. mine or dte name): Del Norte West Valley Pit <br /> <br />3. gera ltted ae ffM (new or existing dte) 45.97 permitted acres <br />3.1 Change in acreage (+) NBC jVj® ? 20.57 acres <br />3.2 Total acmage in Permit area JAN 66.54 acres <br />4. Ef: <br />4.1 New Application DIVIOIOrt of RAWIMatlon, S2,696.00 application fee <br />4.2 New Quarry Application mining & fthty 53.342A quam application <br />4.4 Amendment Fee S2,229,00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) 52.646.00 conversion fee <br />5. Prfm arv eommoditie(sl to be mined Sand Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. None _ 1bslTons/vr 2. / lber4l <br />3. / OWTolts/vr 4. / 1Wrona/vr S. / lbs/fons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction Aggregates <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: None <br />Officeof of fed <br />Mlnad land Redarmadon Derner 9 Grand Juncdm - Dum W Active and Wedw MhW