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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 /> Phone:(303)866-3567 / DIVISION o F <br /> FAX:(303)832-8106 AM N 01 RIEVe1VED RE ON <br /> CLAMATI <br /> V MINING <br /> SJMlthm ``'' SA ETY <br /> 14 <br /> CONSTRUCTION MATERIALS �44 � <br /> REGULAR(112)OPERATIODMSION OF RECLAMATION <br /> RECLAMATION PERMIT APPLICATION WAW8�SAFM <br /> CHECK ONE: ✓Q There is a File Number Already Assigned to this Operation ` 13 <br /> Permit# Mz poo Q67 (Please reference the file number currently assigned to this operation) O O <br /> New Application(Rule 1.4.5) Amendment Application(Rule 1.10) 3 O <br /> Conversion Application(Rule 1.11) N gyp' 6 <br /> � a <br /> Permit# M 2000 637 _ (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 applicatii <br /> form;(2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5(Geotechnical Stability Exhibit;and(3)the application fee. When y' <br /> submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the complet <br /> application form,two(2)copies of Exhibits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check I <br /> the application fee described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded <br /> 8 1/2" X I I"or 8 1/2" X 14"size. To expedite processing,please provide the information in the format and order described in this fot <br /> GENERAL OPERATION INFORMATION 3C O <br /> Type or print clearly,in the space provided,ALL information requested below. ? O O <br /> � � v <br /> I. Applicant/operator or company name(name to be used on permit): High Mesa Gravel, LLC <br /> 1.1 Type of organization(corporation,partnership,etc.): corporation <br /> 2. Operation name(pit,mine or site name): <br /> 3. Permitted acreage(new or existinE site): 56.06 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area 56.06 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: Sand Gravel <br /> 5.1 Incidental commoditie(s)to be mined: 1. N/A - lbs/Tons/yr 2. / lbs/Tons/yr <br /> 3. / lbs/Tons/yr 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 />