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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 COLORADO <br />Phone: (303) 866-3567 CONSTRUCTION MATERIALS D I V I S I O N Op <br />FAX: (303) 832-8106 REGULAR (112) OPERATION RE MC 11'IN TCIsON <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />aiR Kw'ilter0f, Jr. <br />C1?CK ONE: ? _ There Is a File Number Already Assigned to this Operation oO1" <br />Peff M _ <br />(Please reference the file number current( assi r)ec D. DWxW <br />y fined to this operatioa«?eive Dingy <br />New Application (Rule 1.4.5) ? Amendment Application (Rule 1.10) Ronald W. ca"any <br />Division Dhamr <br />Conversion Application (Rule 1.11) Natural Resource Trufte <br />Permit # M -1976 051 (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 sure 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 8 1/2" 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, ALL information requested below. <br />1. Applicant(operator or company name (name to be used on permit): Duckels Construction Co., dba Yampa Agg. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit. mine or site namel: Bettger Pit <br />3. Permitted acreage (new or existing site): 65.1 permitted acres <br />3.1 Change in acreage (+) 22.4 <br /> acres <br />3.2 Total acreage in Permit area 87.5 <br /> acres <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application 696.00 application fee <br /> <br />4.4 Amendment Fee $3342.00 quarry application <br /> <br />4.5 Conversion to 112 operation (set by statute) $2.229.00 amendment fee <br /> $2,696.00 conversion fee <br />5. Primary commoditie(s) to be mined: C`A-eg- large stone boulders excess topsoil <br />5.1 Incidental commoditie(s) to be mined: 1. - IbsrTons/vr 2. / lbs/Tons/vr <br />3. / Ibs/Tons/w 4. ! lbs/Tons/vr 5. / lbslTons/vr <br />5.2 Anticipated end use ofprimary commoditie(s) to be mined: Construction <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br /> <br />Office at <br /> <br />Mined rand Reclamation ? Denver • Grand Junction • Durango <br />A Office of <br />ctive and Inactive mines