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STATE OF COLD <br />DWISION OF RECLAMATION, AdW4G AND SAWff <br />Deparunert of Natural Resources <br />1313 Sherman SL, Room 215 <br />Phone`' Colorado 80203 <br />CONSTRUCTION MATERIALS <br />Phone: (303) 866.35567 67 <br />FAX. (303) 8328106 REGULAR (112) OPERATION RECEIVED <br />RECLAMATION PERMIT APPLICATION <br />SEP 10 Z01Q <br />Q= ONE: 0 <br />COLORADO <br />DIVISION Of <br />RECLAMATION <br />MINING <br />SAFETY <br />ssl aalw, k. <br />nor <br />Then is a File Number Ahready Aged to this OPw&dMlvlsicn of Reclamation, (sov" <br />lurk D. 5Mmwm <br />P!=-J M-- - (Please reference the file number currently assigned t? musf owaboa);«,five Direcc« <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald W. Lamm <br />Division Dinsm <br />El Conversion Application (Rule I A 1) Natural Resource Trustee <br />Permit # M - - - (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 sme to include am (1) agwi &, aimed and nogAwd OPIMAL and ace (1) copy of the completed <br />application hem, two (2) copies of Exhibits A-S, Addendum 1, appropriate melons of 6.5 (Geotechmc d SWlt7ityFxhtbit, and a check for <br />the application fee described order Section (4) bellow Ealmbits Should M be bound or in a 3-mg bin I ; maps should be folded to <br />812" X 11" or 8 V2' X 14" size. TO expedie proeesibg, please provide the fi*rmaion in the format and order desrbed in this farm- <br />GENERAL OPERATION INFORMATION <br />Type or lprist eleorlys he tie space provided, Q taforimmilio¦ requested below <br />1. er oo?anv tame [su®e to be used nerrrit) White Sand & Gravel, LLC <br />1.1 Type of organization (cwrpondion, pstmersh* etc.). Limited WNW Company <br />2. Qua cams (a mice or site nameic White Sand & Gravel Pit #1 <br />3. Permitted aerAmn thew or existing slte)• 138.3 Permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 Total acreage in Permit area 138.3 acres <br />4. J <br />4.1 New Application nmii Q4 application fee <br />42 New Quarry Application quany application <br />4.4 Amendment Fee 52.2 9A82 amendment fee <br />4.5 Conversion to 112 operadw (set by statute) oonversion flea <br />5. commaoditia tolt!8g Sam Gravel filll material <br />5.1 Incidental commoditie(s) to be mimed: 1. NA - 16alTorna/1rr 2. I iball aoslvr <br />3. ! Ibs/1'omJvr 4. / nwTonrlvr - 5. / Ibsllanslvt <br />5.2 Anticipated end use of primary oon=W tie(s) to be mined : When Supply is d*Oted <br />53 Anted end use of incidental commoditie(s) to be mined. <br />91 <br />OAioe of Orace of <br />Mined tart Roden stlan Denver " Crald Juntgm • Duraiso Mirth and Waft Minot