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2. Operation name (nit. mine or site namel: Limestone Pit No. 10 <br />3. Permitted acreage (new or existing site): 86.4 permitted acres <br />3.1 Change in acreage CO 0 acres <br />3.2 Total acreage in Permit area RR, 4 acres <br />4. Fees: <br />4.1 New Application X XX $2,696.00 application fee <br />4.2 New Quarry Application $3.342.00 quarry application <br />4.4 Amendment Fee 52.229.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.696.00 conversion ice <br />5. Primary commodide(s)tobemined: L imestone Cl Sand Gravel <br />5.1 Incidental commodities) to be mined: 1. N / A - Ibs/Tons/vr 2. / IbstFons/vr <br />3. / lbs/Tons/vr 4. / IbsdTons/vr 5. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road Cn n a t ri i r t i nn Material <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St, Room 215 RECEIVE() <br />Denver, Colorado 80203 <br />Phone: (3031866.3567 CONSTRUCTION MATERIALS <br />FAX: (303) 832 -8106 JUL 0 7 Z UGULAR (112) OPERATION <br />GRAND APPLICATION FORM <br />DIVISION OF <br />RECLAMATION MINING & SAFETY <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A <br />STATE OF COLORADO <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Sill Ritter, Jr. <br />Governor <br />CHECK ONE: ❑ • There is a File Number Already Assigned to this Operation <br />Harris p9mitit M -111- -0 (Please reference the file number currently assigned to this op eratio> u u � ve Director . Sherman New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald W Canary <br />Division Director <br />Conversion Application (Rule 1:11) Natural mace 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 ( Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete 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 />I. Applicant /oneratororcompanv name (name to be used onuermit): Moffat County Board of County Commissioners <br />1.1 Type of organization (corporation, partnership, etc.): 1 ora 1 Government <br />Office of Office of <br />Mined Land Reclamation ' Denver • Grand junction • Durango Attire and Inactive Mines <br />