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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 <br />80203 COLORADO <br />o N of <br />5 <br />67 CONSTRUCTION MATERIALS <br />Phone (303) 866.3567 I <br />MATION <br />FAX- 4303) 832-8106 REGULAR (1121 OPERATION • RECLAMATION PERMIT APPLICATION FORM SAFETY <br />Bill Ritter, Jr. <br />CHECK ONE: Q? • There Is a File Number Already Assigned to this Operation Governor <br />+seo 112 Hartle D. shermm <br />P M -_- - (Please reference the file timber currently assigned to this cperatiox)x„ eve Direaw <br />New Application (Rule 1.4.5) Amendment Application (Mule 1.10) Ronald W. Cattany <br />19 Conversion Application (Rule 1.11) o ision <br />D TruMe <br />Permit # M - - 1980 112 (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) cornalete 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. <br />Applicant/operator or comoanv name (name to be used on permit): Rio Blanco County Road and Bridge _ <br />1.1 Type of organization (corporation, partnership, etc.): Government <br />2. Operation name (nit, mine or site name): Bachmann Gravel Pit <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. <br />19.50 permitted acres <br />6.14 acres <br />25.64 acres <br />$2.696.00 application fee <br />$3342.00 quarry application <br />52.229.00 amendment fee <br />$2,696.00 conversion fee <br />Primary commoditie(s) to be mined: ravel sand <br />5.1 Incidental commoditie(s) to be mined: 1. - lbsffons/vr 2.. / lberons/yr <br />3. 1 lbs/Tons/vr 4. / lbslTons/?r 5. lbsMons/vr <br />5.2 Anticipated end use of primary commoditie(s) lobe mined: Road Base <br />53 Anticipated end use of incidental commoditie(s) to be mined:Road Base <br />Office of <br />Mired Land Reclamation <br />Denver - Grand )unction - Durango <br />Office of <br />Active and Inactive Mines <br />Page 3 of 66