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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />--,4 <br />Depart nerd of Natural Resources <br />1313 Sherman 5L, Room 215 t <br />RA D O <br />Denver, Colorado 80203 CONSTRUCTION MATERIALS <br />Phone (303) 86b3567 ION O F <br />MATION <br />FAX: (303) 832-8106 REGULAR (112) OPERATION NING <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br /> Bill Pilfer, Jr. <br />CHECK ONE: Z There is a File Number Already Assigned to this Operation Governor <br /> Harris D. Sherman <br />M U34 (Please reference the file number currently assigned to this operatiox"-ve Director <br />Pe <br />ff <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald W. Comw <br />Di <br /> <br />11) <br />R <br />le 1 <br />li <br />ti <br />i <br />A Division <br />rector <br />WNW Resource Truuee <br />u <br />. <br />on ( <br />ca <br />on <br />pp <br />Convers <br />Permit # M -_1998 - 034 - (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 sane to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, 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 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 />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, &LL information requested below. <br />1. Applicant/operator or company name (name to be used on permit): Mountain Park Concrete, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pil mine or site name): Parshall Pit <br />3. P 'tted a e new or existing site <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />9.95 permitted acres <br />+32.48 acres <br />42.430 acres <br />4. Fees: <br />4.1 <br />New Application <br />$2.696.00 <br />application fee <br />4.2 New Quarry Application $3.342.00 quarry application <br />4.4 Amendment Fee $2429.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.696.00 conversion fee <br />5 prim ary commodities) to be milled: Sand Gravel Construction Materials <br />5.1 Incidental commoditie(s) to be mined: 1. NA - lbni/Tons/vr 2. NA / 1bs/Tons/vr <br /> 3. NA / 1bs/Tons/vr 4. NA / lbsffons/w 5. NA / lbs/Tons/vr <br />2 <br />5 ated end use of primary commoditie(s) to be mined: <br />Antici Concrete, Aggregate, and Road Base <br />. p <br />5.3 Anticipated end use of incidental commoditie(s) to be mined . NA <br />ire LJ; 5ed on A?i I .gn r o <br />Office of Office of <br />Mined Land Redarnadon Denver • Grand Junction • Durango Active and Inactive Mines