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DIVISION OF RECLAMATION, MINING AND SAFETY 4f4( 01? D <br />Depart neat of Natural Resources * <br />1313 Sherman SL, Room 215 q? 4 <br />Denier, Colorado 80203 ??U9AN 1Q,J t v i OR A oOF <br />CONSTRUCMnON F <br />Phone: (303) (303) 883268106 RE TLAR (lit) OPERATION MININ?q?o?` MFFi?F MC il. NM NGON <br />RECLAMATION PERMIT APPLICATION FO AgryTIOH, SAFETY <br />2tv ??a5 <br />Siff Ritter, Jr. <br />CHECK ONE: There is a File Number Already Assigned to this Operation covemor <br />Harris D. Sherman <br />P? M (Please reference the file number eunm ly assigned to this operatiox)ea thre Director <br />t " t New Application (Rule 1.4.5) Amendment Application (Rule 1.10) w <br />Division Director <br />Conversion Application (Rule Ll 1) NawW Resource Trustee <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 (Geotechnicah Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sate to include one (1) complete signed and notarized ORIG71KAL and one (1) copy of the completed <br />application form, two (2) copies of Fxhtbits A-S, Addendum 1, appropriate sections o£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 8112" 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. Agpgeant1gpemtor or company name (name to be used on nermitl: TELLURIDE STONE COMPANY I NC <br />1.1 Type of organization (corporation, partnership, etc.): S_CORP <br />2. Oper ation name WIL mine or site name) Airport Pit <br /> <br />3. Permitted awe forty or eriatim sitel: 10.5 permitted acres <br />3.1 Change in acreage (+) 0 acres <br />3.2 Total acreage in Permit area 10.5 acres <br />4. Fees: <br />4.1 New Application n6%.00 application fee <br />4.2 New Quarry Application $3.342.00 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. Prim ary commoditie[sl to be mined: Architectural Stone Landscape Blocks <br />5.1 Incidental commoditie(s) to be mined: 1.5,000- 1 Tons/vr 2. / lbslTons/yr <br /> 3. / lbs/Totms/vr 4. / lhggons/,?+r 5. / lbs/Tons/yr <br />5.2 Anticipated end use of primarycommoditie(s)tobemined:Buildings & Walls Landscaping <br />5.3 Anticipateed end use of incidental commoditie(s) to be mined: Gravel <br />Office of ••?-