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CHECK ONE: There is a File Number Already Assigned to this Operation <br />Permit # M - <br />I 1 New Application (Rule L4.5) <br />I Conversion Application (Rule 1.11) <br />2. <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Shaman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />MX: (303) 832 -8106 <br />1. Applicant/operator or company name (name to be used on permit): Tamrock Gravel LLC <br />1.1 Type of organization (corporation, partnership, etc.): Limited Liability Corporation <br />Operation name (nit. mine or site name): Shot Rock Pit <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: Crushed <br />5.1 Incidental commoditie(s) to be mined: 1. <br />Stone <br />STATE OF COLORADO <br />Ai\ <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION ECEIVED <br />RECLAMATION PERMIT APPLICATION FO <br />Bin Ritter, )r. <br />Division of Reclamation oemor <br />Mining & Safety Harris D. Sherman <br />(Please reference the file number currently assigned to this operatioa)e cut ve Director <br />I Amendment Application (Rule 1.10) <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 />21.00 <br />0.00 <br />21.00 <br />Borrow <br />Ibs/Tons/vr 2. <br />5.2 Anticipated end use of primary commodities) to be mined: Specification aggregates, fill <br />MAY 1'2C12 <br />$2.696.00 <br />$3342.00 <br />$2.229.00 <br />52.696.00 <br />3. / lbs/Tons/vr 4. / lbs/Tons/yr 5. / <br />COLORADO <br />DIVISION O F <br />RECLAM <br />MINING <br />SAFETY <br />Ronald W. Canny <br />Division Director <br />Natural Resource Truth* <br />permitted acres <br />acres <br />acres <br />application fee <br />quarry application <br />amendment fee <br />conversion fee <br />lbs/Tons/vr <br />lbs/Tons/vr <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />