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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY ' /? <br />Department of Natural Resources 10 1 - lJ <br />1313 Sherman St., Room 215 [C,0 O RA D O <br />Denver, ColorWo 80203 I s o N O F <br />phone: (303) 866-3567 CONSTRUCTION MATERIALS 1rCLAMATION <br />FAX: (303) 832-8106 REGULAR (112) OPERATION MINING <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />Bill Ritter, Jr. <br />OEM ONE ? There Is a File Number Already Assigned to this Operation Governor <br />Harris D. Sherrm <br />P M (Please reference the file number currently assigned to this operatioil)eaaivc Dimes <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald W. COW <br />Division Director <br />Conversion Application (Rule IA 1) WaWW Resource Tnatee <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 Fxlnbit; and (3) the application fee. When you <br />submit your application, be stare to include one (1) complete signed and notasl'zed ORIGIN 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 />81/2" 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, ALL information requested below. <br />I. nlicantloverator or company name (name to be used on vermit): Montrose County <br />1.1 Type of organization (corporation, partnership, etc.): County GOyemment <br />2. operation name nm mine or site name): Donley Rock Quarry <br />3. permitted aeresee (new or existing site): 20.26 permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 Total acreage in Permit area 20.26 acres <br />4. Fees: - <br />4.1 New Application $2.696.00 application fee <br />4.2 New Quarry Application $3342.00 quarry application <br />4.4 Amendment Fee $2,229.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.696.00 conversion fee <br />5. Primary commoditie(s) to be minW: Sandstone <br />5.1 Incidental commoditie(s) to be mined: I. sand"°"° - lbs/Tonslvr 2. ! lbstrons/w <br />3. lbs/Pons/vr 4. ! lbs/rous/vr 5. ! lbs/T ons/vr <br />52 Anticipated end use of primary commoditie(s) to be mined: Rip-rap <br />5.3 Anticipated end use of incidental commoditie(s) to be mined-Road sub-base <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive mines