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DIVISION OF RECLAMATION, MINING ANO SAFETY <br />Department of Natural Resources <br />1313 Sherman 5t„ Room 215 <br />Deawer, Colorado 80203 <br />F (3030832 5 7^�� <br />NV Z2 2011 <br />Division of Reclamation, <br />C,K ONE: _ing _ Theme Is a File Number Already Assigned to this Operation <br />Permit It M <br />X New Application (Rule 1.4.5) <br />1. <br />��� _ n � STATE CAE COLOF ADU <br />Conversion Application (Rule 1.1 1 ) <br />CONS'T'RUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />Permit ft ,- L• _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major pans: (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 acheck for <br />the application fee described under Section (4) below. Exhibits should MU 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, information requested below. <br />Applicant/operator or eomnanti name (name to be used on permit): Oldcastle Southwest Group, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (Ink/nine ar site name): Debeque Sand and Gravel Resource <br />45.04 <br />3. rermftted acreage (new or existing Mel: <br />3.1 Change in acreage (4•) <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 Ter <br />4.5 Conversion to 112 operation (set by statute) <br />Sand <br />5.1 Incidental comnmditie(s) to be mined: I. . „n/a lbstfpJ)s/ -- yr 2. <br />5. Primary commodffe(s) to be ring Gravel <br />3. / lbstrorlslvt <br />5.2 Anticipated end use of primary commoditic(s) to be mined: Construction materials (road base, paving aggregates, bedding, <br />5.3 Anticipated end use of incidental commoditie(s) tube mined: n/a <br />Office of <br />Mined Land Reclamation Denver • Grand junction • Durango <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />SA ETY <br />Bin Rutter, Ir. <br />Governer <br />Hams D. Sherman <br />E*ecuti . e Direct°, <br />(Please reference the file number currently assigned to this operatiCii, w. C sr.>.,t <br />Amendment Application (Rule 1.10) 13"'Ort De cor <br />tVatura Rmuurce Trustee <br />permitted acres <br />n/a <br />acres <br />45.04 ^M acres <br />✓ $2.69690 <br />$3.342.00 <br />S2.229,00 <br />$2,696.00 <br />application fee <br />quarry application <br />amendment tie <br />conversion fee <br />0.•Siyy 5. ' _._._.._AsiTens/yr <br />Office of <br />Active and Inactive Mince. <br />