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STATE OF COLORADO <br />DIVISION OF REaAMATION, MINING AND SAFETY <br />Depa 0W* d Naarral R,nmras <br />1313 Own= St., Room 215 <br />Oes MI Colowdo 80203 DIVISION C O O RA DO <br />Mum (3t15) 8663567 CONSTRUCTION MATERIALS UITION <br />FAX- OM) 832$106 REGULAR (112) OPERATION MINING <br />RECLAMATION PERMIIT APPLICATION FORM aki? <br />sat RISK if <br />CElECK ONE. ? There IS a M Number Already AssIp" to this Opera" C VOPW <br />sor t -v (please reference the tie nnnnber currently assigned to this oPesafiios}.ouam ta.mr <br />pemdt# <br />17 Now Application (Rule 1.4.5) _DAmendment Application (Ride 1.14) <br />Dm" ob <br />Conversion Application (Rule Ll 1) NSNW &MUMB iu IN <br />Permit # ?tl (provide for Amendments and Converdoas of existing permits) <br />The application for a Const acdon Materials Regular 112 Operation Reclamation Permit contains throe mw parts: (1) the application <br />form, (2) Exhbits A -S, Addawfi n 1, any sections of Exhibit 6.5 (Geotecbnical Stsba7ity Fxhft and (3) the application fee. Whenyou <br />submit your application, be sure to iwhuie one (1) 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 acheck far <br />the application fee described under Sect um (4) below. Exhibits should NOT be bound or m 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 I]MR]AATION <br />Type or print dearly, In the space provided, &L information requested below. <br />1. A=5mdton=tor ar comu;pv name (name to be mod on armit); Weeminuche Construction Authority <br />1.1 Type of erg=izpdon (cotpo=d^ p utwz rip, ft.): A Tribal Entity <br />2. op=d= Dame rn t; mine ur dit nanw Animas Glacier Gravel (AGG) <br />3. <br />3.1 Change in acreage (+) <br />31 Total screw in Permit area <br />4. L"s; <br />4.1 New Application <br />41 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (net by statute) <br />s. PAmarr counnoditl0d ft be mined Sand Gravel Stone <br />5.1 Incidental comr DMO(5) to be mined: l . ??I ona/vr <br />127.5 permitted acres <br />acres <br />127.5 acres <br />9,696A6 application fee <br />S3-34LK quarry apps <br />SLZZ9M amenduaaut free <br />S2.6S6.O0 conversion fee <br />2. _1 lbu Tons/vr <br />3. / 11WsrTonslvr 4. 1 lbW[j onS1W S. / Ibilaso/er <br />5.2 Anticipated and use of primary c ommoditie(s) to be mined: Commercial Sales and General and Road Construction <br />5.3 Amicip W end use of incfdmtal commoditie(s) to be mines: On site construction use or commercial sales <br />Mlow WWI Redamstioa ? Daw • Graod luaatiocc 9 Dwow tnsc tllw Mbw