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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 C O L O R A D O <br /> Dv► sioN OF <br /> MONPhone:(303)866-3567 R TI <br /> FAX:(303)832-8106 MINING(oiv <br /> AM01 <br /> J SAFE <br /> LE/mac R OFRCLAMATION -a o <br /> CONSTRUCTION MATERIALS S SAFETY M. 3 1 <br /> REGULAR(112)OPERATION a 0 <br /> RECLAMATION PERMIT APPLICATION FORM O <br /> o <br /> CHECK ONE: There is a File Number Already Assigned to this Operation CD <br /> Permit# Mz o°a Q44 (Please reference the file number currently assigned to this operation) n 'A <br /> New A lication(Rule 1.4.5) Amendment Application(Rule 1.10) <br /> Conversion Ap ication(Rule 1.l 1) <br /> Permit M 2004 --044 _ (provide for Amendments and Conversions of existing permits) o <br /> 0 <br /> The applicati o ction terials Regular 112 Operation Reclamation Permit contains three major parts: (1)the r <br /> form;(2)Exhibits A-S,Ad 1,any sections of Exhibit 6.5(Geotechnical Stability Exhibit;and(3)the application fee. D <br /> submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the =I� <br /> application form,two(2)copies of Exhibits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability Exhibit,and QN 0 <br /> the application fee described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should b V <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 tor,u. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,ALL information requested below. <br /> 1. Applicant/operator or company name(name to be used on permit): Aggregate Industries-MR, Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(ait,mine or site name): Tucson South Resource <br /> 3. Permitted acreage(new or existing site): 291.5 permitted acres <br /> 3.1 Change in acreage(+) 16.2 acres <br /> 3.2 Total acreage in Permit area 307.7 acres <br /> 4. Fees: <br /> 4.1 New Application $2,696.00 application fee <br /> 4.2 New Quarry Application $3,342.00 quarry application <br /> 4.4 Amendment Fee $2,229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2,696.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: <br /> sand gravel <br /> 5.1 Incidental commoditie(s)to be mined: 1. gold _ 5 lbs/Tons/yr 2 / lbs/Tons/yr <br /> 3. / lbs/Tons/vr 4. / lbs/Tons/yr 5. / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Construction materials <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: n/a <br />