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O 0 <br />STATE OF COLORADO <br />DiVWQN OF RSaAMATKK MINI NC AND SAFETY RECEIVED <br />Dgmorbaent of hhturai Resocrraes <br />1313 5tremran 5t, ttgom 21s JAN 2 Z 011 COL O AA D O <br />Owl-. Colorado <br />W= CONSTRUCTION MATERIALS D t v t s ton os <br />FAX- Plxm (M) 866-3567 REGULAR (112) OPERATIONGRANO JIII??CIlOy FfELD OFFI E MINING <br />DIVISION OF --&- <br />RECLAMATION PERMIT APPLICATIdS1?QWRWON MINING 8 SAFE SAd N: <br />msw,1G <br />CHECK ONB ? • Theta h a File Number Already Assigned to this Operation COMM <br />walls tm. sbsann <br />Peq?. M _ (Please ref once the file number mrendy assigned to this opmation)mo a macbr <br />U New Application (Rule 1.4.5) ?. Amendment Application (Rule 1.10) Ramm W. caw <br />H[ Conversion Application (Rule 1.11) hhhug It- Tnslee <br />Permit # _ I1?! -2 n n 5r. & 5 - (provide for Amendmenits and Conversions of existing panift) <br />-31 <br />The application for a _ 2 Regular 112 Opcmtkm Rem Permit camtzims thine major parts: (1) the appUc ation <br />form; (2) Exhibits A-S, Addendum 1, any sections of E+xhrbit 6.5 (Geowftical Stab>bty Rcirrbit; and (3) the application fee. When you <br />submit your application, be am to inchmde am (1) cemnkse signed and z>onrcized ORIGINAL and me (1) copy of die completed <br />applicxtionform,two(2)copies ofdbtbibitBAS, Addenduat 1, appvpditsections of6.5 (GeotachnicalStabilitylikhOit,andacheclcfor <br />the application foe descrrbed under Section (4) below. Exhibits should NOT be bound or in a 3-nng binder, maps should be folded to <br />81/2" X 11" or 8112" X 14" size. To expedite proceniug, please provide the inf nv ation in the fo mat and order descnl)ed in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print dearly, in the spate provided, ALL Information requested below. <br />1. ApmslIeanUoDeratQr or gWRE v name (name to be used on oermlt): UoR e r An i Ma s Sand & Gravel <br />1.1 TXm of mVmizafm (cagwradon, pwumrslup, etc.): P r { Ya t a T.a n el QWn a r <br />2. -Oper ation name(pit,mineorsitenstne): Upper Animas Sand & Gravel Pit 1 & 2 _ <br />3. Pe3 ittad acre me (new or emdstine site): 1 F; - I pennitted acres <br /> 3.1 Change in acreage (+) acres <br /> 3.2 Total aonage in Permit area arses <br />4. <br /> 4.1 New Application UA%.00 application fee <br /> 42 New Quwy Application UM2 quanY aPPlioem <br /> 4.4 Amendment Fee SZZ29.?U ameadmentfee <br /> 4.5 Conversion to 112 operation (set by statute) SZA" conversion fee <br />5. - Prlm arv commoditie(s) to be nmined Sand & Gravel <br /> 5.1 Incidental ye(s) to be mined: I. - lbsrFons/vr 2. / Is f <br /> 3. / Ibsll'o 9ta 4. / ibs/rmdvr S. / lbs/roma/vr <br /> 52 Andcipatedendumofpdmarycomm*ditie(s)tDbeminv:Road material, Leach Field Ma erial <br /> 53 Aarkip We d w,fhddemal s)t bemio4oncrete, Rip Rap, Decorative Rock <br /> <br /> ORkeof Ofioeof <br /> Mined land Redamatiou ? Mm w • Grand jwKtion • Dwa go Attire and WachVe Mines