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i. <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Depardnent of Natural Resoutoes <br />1313 She ntan St., Room 215 <br />r 71 Dever, Calorado>m203 C O L O R A D O <br />?I Phone: (303) 856.3567 CONSTRUCTION MATERIALS D I v t a r o x o t1 <br />FAX: (303) 832-8106 REGULAR (112) OPERATION MC IL NGON <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />sin Rkw, Jr. <br />QUCK ONE: ©• There Is a File Number Already Assigned to this Operation Governor <br />)ecut ve DShemm <br />P M , -0? (Please reference the file number currently assigned to this operatiox Hards <br />irector <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronsd w. seism <br />Division Director <br />?,1 ? Conversion Application (Rule 1.11) Nawai Resource Trustee <br />i' Permit # M 1998 034 (provide for Amendments and Conversions of existing permits) <br />r The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />I form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (GeotcchnicaI Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application fornr, 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 NO 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 procesping, 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, AU information requested below. <br />1. Applicauttowrat:gr or coM env name (lie to bed on neMM- Mountain Park Concrete, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />t <br /> 2. Oper ation name (nit, mine or site name): Parshall Pit <br />,r+ 3. Perm itted acrme (new or-existina site): 9.95 pfd <br />acres <br /> 3.1 Change in acreage (+) +32.74 acres <br /> 3.2 Total acreage in Permit area 42.69 acres <br />tJ 4. Fes: <br /> 4.1 New Application $2fi96.00 application fee <br /> 4.2 New Quarry Application $3,2.00 quarry application <br />L 4.4 Amendment Fee $2.229.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) $2A%-.00 conversion fee <br />C 5. Pdm rv commoditiefs) to be,mined Sand Gravel Construction Materials <br /> 5.1 Incidental commoditie(s) to be mined. 1. NA - lbs/Tbns/W 2. NA / ibs/Tonslvr <br /> 3. _NA / msrlonsJvr 4. NA / 1bs/Tons/vr 5. NA ! lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: Concrete, Aggregate, and Road Base <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: NA <br />I <br />l <br />Office <br />Mined Land Reclamation Denver • Grand lwxtion • Office <br />DuraW Active and Macti <br />tive Mines <br />r?