2010-05-20_REVISION - M1998034

• Permit No: M1998034
• IBM Index Class Name: Revision
• Doc Date: 5/20/2010
• Doc Name: Conversion from 110c to 112c application
• From: Mountain Park Concrete, Inc.
• To: DRMS
• Type & Sequence: CN1
• Email Name: ECS
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Deparbnent d Natural Resources
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1313 Shemnan St., Room 215
Dever, Colodo 80203

Phone: [phone] CONSTRUCTION MATERIALS
COLOR-ADO
DIVISION OF
RECLAMATION
FAX: [phone] REGULAR (112) OPERATION MINING
RECLAMATION PERMIT APPLICATION FORM SAFETY

2 Bin Ritter, Jr.
Govern"
CHECK ONE:
There Is a Fite Number Already Assigned to this Operation
P M Im 034 Harris D, Shemm
(Please reference the file number currently assigned to this operatiox)ecutive Director
New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald W. Cattany

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Permit # M _ 1998.034 (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application
form, (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you
submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed
application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for
the application fee described under Section (4) below. Exhibits should N01 be bound or in a 3-ring binder, maps should be folded to
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.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, _Ajj?. information requested below.
1. Amlicaam tl6yerator or company name (name to be used on permit): Mountain Park Concrete, Inc.
1.1 Type of organization (corporation, partnership, etc.): Corporation
2. Operation name (pit, mine or site name): Parshall Pit
3. Permitted acreage (new or existing site): 9.95 permitted acres
3.1 Change in acreage (+) +32.74 acres
3.2 Total acreage in Permit area CQ `@! w 42.69 acres
4. ?' New Application MAy z C, Z010
$2.696.00 application fee
4.2 New Quarry Application $3342.00 quarry application
4.4 Amendment Fee Division of Reclamation, $2,229,00 amendment fee
4.5 Conversion to 112 operation (set by statute) Wining & Safety $2.696.00 conversion fee
5. Primary commoditie(s) to be mined: Sand Gravel Construction Materials
5.1 Incidental commoditie(s) to be mined: 1. NA - lbs/Tons/vr 2. NA / ibsfrons/vr
3. NA / Ibs/Tons/vr 4. NA / 1bsJTons/vr 5. NA / Ibs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Concrete, Aggregate, and Road Base
5.3 Anticipated end use of incidental commoditie(s) to be mined: NA
Office Of Office of
Mined Land Reclamation Denver • Grand Itutctlon • Durango Ac&e and Inactive Mines