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5TA OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY ?+ <br />Depardnent of Natural Resowoes <br />1313 Shenna?? 5L, Room 215 MA 4 2 Q COLORADO <br />D e v e r , C o l o r a d o 80203 D I V I S I O N OF <br />Phone: (303) 866.3567 CONSTRUCTION MA'TEl D JUNw i iuN FIELD OFFICE RECLAMATION <br />gEGiU,AR (jj2)OpERAjWHj ??q.?DIVieloN OF MI G <br />FAX: t303) 832-8106 RECLAMATION PERMIT APPLICATION FO?WINJNG &,SAFM SAFETY & <br />Bill Rater, Jr. <br />??-Q77 Govemor <br />CHECK ONE: `CJ • There Is a File Number Already ASSlgued to this Operation Harris D. Sherman <br />-- P M 198 ¢ - 248 AMOR reference the file number cnrrendy assigned to this opm6o4ea,uve oireemr <br />ease <br />i W' Y <br />Rm"M <br />X Amendment Application (Rule 1.10) <br />New Application (Rule 1.4.5) ?. Division pireemr <br />Conversion Application (Rule 1.11) Nadrral Rem= Tnatce <br />1980-248 AM001 AM002 <br />Permit # M - - - (provide for Araeudments 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) ^o lets aiitned and notarized- RIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnicai 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 81/2" X 14" size. To expedite processing, Please Provide the information in the format and order described in this form. <br />GII?RAL OPERATION INFORMATION <br />Type or print dearly, in the space provided, ALL information requested below. <br />Moffat County Board of County Commissioners <br />1. AsPlicant/o stator or company name name to be used on Permit <br />Local Government <br />1.1 Type of organization (corporation, partnership, etc.): <br /> Lyons Pit No. 2 <br />2. Oper ation name (pit, mine or site namlel: <br />39.58 <br />permitted acres <br />g. <br />?,,+r. <br />n1t+ acresQe (new or eidstine site) : <br />.?d <br /> <br />+ 30 .63 <br />3 <br /> <br />?? <br />3.1 Change in acreage (+) 0 . <br />721 acres <br />3.2 Total acreage in Permit area <br />4. Fees: _jj&L6.QL application fee <br />4.1 New Application VJL2&L quarry application <br />42 New Quarry Application _ <br />XXXX $2329.00- amendment fee <br />4.4 Amendment Fee <br />eration (set by statute) <br />112 o <br />i X2.696.00 conversion fee <br />4.5 p <br />on to <br />Convers <br />pri <br />5 mary commoditie(al to be mined: Sand . Gravel Clay <br />. N/A 2. 1 1bs/Tons/vr <br />1 <br />5 . <br />Incidental commoditie(s) to be mined: 1 - <br />. 3. !. / )bggMa/vr 4. / 1 0 <br />mmoditie(s) to be mined. Road <br />i 5. / Ibs on <br />Construction- Materials <br />5.2 mary co <br />Anticipated end use of pr <br />N <br />5.3 Anticipated end use of incidental commo(itie(s) to be mined. <br />011103 of <br />Office of ! Denver • Grarrd3unctlon • Durango Active and lnaciive Mines <br />Muted land Reclamation