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atilt/4;14/ 1 ( <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural ,Resources <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866.3567 <br />•FAX: (303) 832-8106 <br />sin totter, Jr. <br />K D There is a File Number Already Assigned to this Operation coveraer <br />Hants D. Shaman <br />P M --- (Please =femme the file number currently assigned to this operatimileetetve mulct <br />New Application (Rule 1A.5) Amendment Application (Rule 1.10) twnaldw. Cattan <br />Division Director <br />Converidon Application (Rule 1.11) Natural Resource Tnetee <br />Permit # M - 1976 009 - HR (provide for Amendments and Conversions of existing Permits) <br />Theapplication for a Consuuction MaterialaRegular 112 Operation' Reclamation Fennit contain:a:three major. parts: (1) the application <br />form, (2). Exhibits A-S, Addendum 1, any se of Exhibit 6.5 (Geoteclinical Stability Ridnint; and (3) the application tee- When you <br />subnut your applieation, be sure to include one (1) complete , signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) cOpiei of Exhibits A-S, Aiktiodum 1 aPpropriate,sections of 6.5 Stability Exhibit, andacheckfor <br />the application fee described under SectiOn(4), below. Exhibits should NOT be bound or in a 1-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 itifonnation in. the forniat Mad tinier desciibed in thisfor <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in thespace provided, .ALL information requested below. <br />1. Annlicant/oDerator or company name (rime to be used Oil permit): Schmidt Construction Company <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (Pit, mine or site name): Menzer Quarry <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditle(s) to be mined: Granite <br />5.1 Incidental commoditie(s) to be rained: 1. <br />STATE OF COLORADO <br />4/4 <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPRRATION - <br />RECLAMATION • PERMIT. APPLICATION FORM <br />OCT 31 2 011 <br />Division of Reclamation, <br />bliiktin sklgoty <br />mined td Reclamation Denver 'Grand jUnCtlail • Durango <br />NONE lue/Tous/yr 2. / lbsfronsivr <br />3. / lbs/Torts/vr 4. / lbs./Tons/Yr 5. 1 lbstrons/w <br />5.2 Anticipated end use of primary conmioditie(s) to be mined: <br />5.3 Anticipated end use of incidental conunoditie(s) to be mined: <br />172.5 <br />000.0 <br />172.5 <br />COL 0R.A <br />itia144141,c71.1 <br />MINING <br />&"=-- <br />SAP ETY <br />$2.696.00 application fee <br />$3.342.00 quany implication <br />32,229.00 amendment fee <br />$2.696.00 conversion fee <br />permitted acres <br />acres <br />acres <br />Office of <br />Active and Inactive Mines <br />