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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 COLORADO <br />Phone. (303) 866-3567 DIVISION o F <br />FAX: (303) 832 -81 �'1 RECLAMATION <br />Rey�vE MINING <br />�d SAFETY <br />PI�(i 70t3 CONSTRUCTION MATERIALS <br />RECIAMA'%14 REGULAR (112) OPERATION <br />01\11 ON OF RECLAMATION PERMIT APPLICATION FORM <br />- MINING AND SAFETY <br />CHECK ONE: Q— There is a File Number Already Assigned to this Operation <br />Permit # M - - (Please reference the file number currently assigned to this operation) <br />New Application (Rule l .4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1. l 1) <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 siened 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 />2 <br />3. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />Applicant/operator or company name (name to be used on permit): All -Rite Paving & Redi -MIX Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />Operation name (pit, mine or site name): Stonewall #1 <br />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 commoditie(s) to be mined: gravel <br />5.1 Incidental commoditic(s) to be mined: 1. lbs /Tons /vr <br />15.0 permitted acres <br />0 acres <br />15.0 acres <br />$2,696.00 <br />application fee <br />$3,342.00 <br />quarry application <br />$2,229.00 <br />amendment fee <br />$2,696.00 <br />conversion fee <br />2. / Ibs /Tons /vr <br />3. lbs /Tons /vr 4. / Ibs /Tons /yr 5. / lbs /Tons /yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction material <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />