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DIVISION OF RECLAMATION. MINING AND SAFETY <br />Deparnnent of Naarral Resoum <br />M -2001 -056 - <br />Complied! <br />-2001 -456 -Complied! <br />ONES or Violation! <br />CONSTPE CTION 1UTERIAU <br />1313 Shemm n St" Room 215 <br />Denver, Colorado 602D3 <br />Phare: M W8.3567 <br />FAX {3031632-6105 <br />STATE OF COLORADO <br />REGLZAR (113) OPERATION <br />RECLAMATION PEP -MIT APPLICA77ON FOR31 <br />CHEM On: ❑— There is a Pile Number Already Assigned to this Operation <br />C0LOAAD0 <br />DIVISION or <br />RECLAMATION <br />MINING <br />sAFk'T—Y <br />RECEIVED <br />MAY <br />92010 <br />Permit 0Nom? - 056 (Please reference the We number cturently assigned to this operati <br />Nnv Application WMaN OF R � . <br />Apg (Rule I.i.5) Amendment Application (Rude 1.10) t.AMATfI <br />u/ Conversion Application (Rule LI 1) AIMNOMo& 'M <br />Permit # tiI - 2001 056 (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains lltree major parts; (1) the application <br />form: (2) Exhibits A -S. Addendum 1. any sections of E.dtibit 6.5 (Cxromcinmical Stability Exhibit: and (3) the application fee. When you <br />submit Iroar application be sure to include one (1) co=-Letesimed and notarized and one (1) copy of the completed <br />application form M-0 (3) copies of Exhibits A-5. Addendum I, appropriate sections of 6 5 (Geotechnical StabilityExhmbit. and a check ft <br />the application fee described under section (d) below_ Exhibits should'OTbe bound or in a 3 -ring binder. maps should be folded to <br />6 1;2" X 1 I " or S 1.-'2"X I.3" size. To expedite processirtt. please protide the information in the format and order described in this form. <br />GD -SLAT OPERaTTON R%1TOPUNLATION <br />Type or print clearly, In the space provided. g& Information requested below. <br />L AnyUcantioneratara y game fustme to be oUd 2n permit) Elbert County, County Government <br />1.1 Type ofogganization (corporation partnership. etc.1: Government <br />2. <br />Ourratiou name it. sulue or site a e ; Belyeal Pit <br />3. Permi-ned naMee w or cib—ting1 <br />3.1 Cleanse in acreage () <br />3.2 Total acreage in Permit area <br />a. 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) X <br />9.9 permitted acres <br />+157.6 acres <br />167.5 „ acres <br />52.696.00 application fee <br />E3J:12.00 quarry application <br />5ZZ29.00 amendment fee <br />52.696.00 conversion fee <br />It. n r H t o mined; <br />Sand Gravel Base <br />5-1 Incidental commodities) lobe mined: 1. _ NA „lbyTonsNT 2 - Lbs Tanshx <br />3_ --- lbsTons'vr 4. lbslTonsht $IbstiM,%T <br />5�2 Anticipated end use of primarycommodide(s) to be mined: County Projects Construction/Maintenance <br />53 Anticipated end use of incidental eammodide(s) to be mined: NA <br />