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m- acw. 05� <br />DIVISION OF RECIAMAT1ON, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver. Colorado 80203 <br />Phone 1303) 866.3567 <br />FAX: (3031 832-8106 <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />MU RIUer.Ir. <br />Governor <br />=LOSE: There Is a File Number Already Assigned to this Operation Hank D. Shmmon <br />Fseturn.e W,eelor <br />Permit it _ _ _ (Please reference the lib number currently assigned to this operaticoloa w. c .o,+r <br />X New Application (Rule 1.4.5) Amendment Application (Rule 1.10) D "'"' 0 " o e <br />Naturd Reswna: fiun <br />Conversion Application (Rule 1.1 I1 <br />Permit it M _ (provide for Amendments and Conversions ofexisling permits) <br />The application fora Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) he application <br />form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application tee. When you <br />submit your application, be sure to include one (1) complete aimed and notarized ORIGINAL and one (I) copy of the completed <br />application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geoteclnical Stability Exhibit; and acheck for <br />the application fee described under Section (4) below. Exhibits should rica 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 iu this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, MA information requested below. <br />1. Aeolic* nVenerator or cnmoanr name (name to be used on oaring: Oldcastle Southwest Group, Inc. <br />1.1 Type of organization (corporation, partnership, eta.): Corporation <br />2. ()natation name toll. mine or site Hamel: Debeque Sand and Gravel Resource <br />Office of <br />Mined land Reclamation <br />STATE OF COLORADO <br />COLORADO <br />DIVISION Of <br />RECLAMATION <br />MINING <br />SAFETY <br />3. permitted eave (new or exfstine sltel: 45.04 <br />weave permitted acres <br />3.1 Change in acreage ( +) n/a acres <br />3.2 Total acreage in Permit area 45.04 acres <br />4. 1rm: <br />4.1 New Application 52,696.00 application fee <br />4.2 New Quarry Application $3,342.00 quatryapplication <br />4.4 Amendment Fee S2.229Ao , amendment fee <br />4.5 Conversion to 112 operation (set by statute) _VAS IL conversion fee <br />Sand <br />5. Primary commoditlefst to bo mined: Gravel <br />$.1 Incidental conuTroditie(s) to be mined: I. n/a - 1blffons/yr 2. / IbsfTansl�fl <br />3. / 1bslTouelvr 4. / Ibsffona/yr S. lbs/fons/yr <br />5.2 Anticipated end use of primary commodide(s) to be mined: Construction materials (road base, paving aggregates, bedding, <br />5.3 Anticipated end use of incidental commodities) to be mined: Mt <br />Office of <br />Denver • Grand Junction • Durango Active and Inactive Minns <br />