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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources ` <br />1313 Sherman St., Room 215 C O L O RA D O <br />Denver, Colorado 80203 D I V I S I O N o f <br />Phone: (303) 866.3567 CONSTRUCTION MATERIALS M I N E RA L S <br />FAX: (303) 832 -8106 REGULAR (112) OPERATION GEOLOGY <br />RECLAMATION PERMIT APPLICATION FORM RECLAMAT <br />SAFETT!SCIENCE <br />Bill Owens <br />CHECK ONE X There is a File Number Already Assigned to this Operation Governor <br />Russell George <br />Permit # M - - 92 -058 (Please reference the file number currently assigned to this operation) Executive Director <br />New Application (Rule I.4.5) Amendment Application Ronald W. Cattany <br />pp on (Rule l .10 ) Division Director <br />X Conversion Application (Rule 1.11) Natural Resource Trustee <br />Permit # M - 19 - -9„2 __ - fl5 R (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 form <br />(2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit and (3) the application fee. When you submityour <br />application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) <br />copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geoteehnical Stability Exhibit, and a check for the application fee described <br />under Section (4) below. Exhibits should NOT be bound or in a 3 -ring binder, maps should be folded to 8 1/2" X 1 I " or 8 1/2"X 14" size. To <br />expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION INFORMATION <br />Typ or print clearly, in the space provided, ALL information requested below. <br />Applicant /operator or company name (name to be used on permit) <br />1.1 Type of organization (corporation, partnership, etc.): Cot <br />2. <br />Operation name (pit, mine or site name) Mic White Pit <br />Colo Quarries, INC. <br />Office of Office of Colorado <br />Mined land Reclamation Active and Inactive Mines Geological Survey <br />RECEIVED <br />3. Permitted <br />acreaee (new oreaistinesite) <br />9.95 <br />permitted acres <br />3.1 <br />Change in acreage ( +) <br />2 .15 acres <br />- <br />3.2 <br />Total acreage in Permit area <br />38.10 acres <br />4. Fees <br />Division of Reclamation, <br />Mining &Safety <br />4.1 <br />New Application <br />$2.344.00 application fee <br />4.2 <br />New Quarry Application <br />$2,906.00 quarry application <br />4.4 <br />Amendment Fee <br />$1938.00 amendment fee <br />4.5 <br />Conversion to 112 operation (set by statute) <br />$2.344.00 conversion fee <br />S. Primary <br />commodities)tobemined Lanclse L e and Aquar Stone <br />5.1 <br />Incidental ccxnmoditie(s) to be mined: 1. 6000 <br />Ib 'on 2. <br />/ lbs/fonshT <br />3. / lbs/Tonslvr 4. / <br />lbs/Tons/vr 5. - <br />/ Ibs/TonshT <br />5.2 <br />Anticipated end use of primary commoditie(s) to be mined: <br />Landscape & Aquarium Stone <br />5.3 <br />Anticipated end use of incidental commoditie(s) to be mined: <br />Golf Course Sand, <br />Arch, Precast <br />Office of Office of Colorado <br />Mined land Reclamation Active and Inactive Mines Geological Survey <br />