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- e~'S, ~'~~' ~ moo ~- ~~~ <br />STATE OF COLORADO <br />AIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />13 t 3 Sherman St., Room z 15 C O L D RA D O <br />Denver, Colorado 80203 ~~(;~'1~ M f NSE RA L S <br />Phone: (303) a66-3567 / / CONSTRUCTION MATERIALS >~~~ <br />FA%: (303) 832-8106 (((/// REGULAR (112) OPERAT1oN ((~ ,~lC ~n~, G E O L O G Y <br />RECLAMATION PERMIT APPLICATION ~O'RM7 ~utW / "` :~iErr~~cieHCia` <br />Diriaion at Minerals aad Geole <br />8)< Bill Owens <br />Governor <br />CiII:CK ONF,: There u a Flle Number Already Assigned to tbis Operation Russeu eeorge <br />Permit q M -__ _ (Phase reference the file number ctrrrrntly assigned to this operation) ere<°nvc olrmor <br />Ronald W. Canany <br />X New Application (Kole 1.45) Amendment Application (Rule L 10) ow~.mm Onector <br />_ Converson Application (Rule L 1 1) Natural Resource Trustee <br />Permit q M -_ -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regulaz 112 Operation Reclamation Yertnit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addundtun 1, any sections of Exhibit 6.5 (Geotechpical Stability Ex}tibiC and (3) the application fez. When you submit yow <br />applieuuon, bu swe to include one (I) compiete sieved and notarized ORIGINAL and one (l) copy oFthe completed application litrtrt nvo (2) <br />topics of Exhihits A-S, Addendum 1, appropriate sections of6.5 (Geotechnical Stability Exhibit, and a check for the application fee describel <br />undcv Section (4) below. fxltibils should NOT be bound or in a 3-ring binder; maps should be folded to 8 1 /2" X I 1 " or 8 112" X 14" sire. 'fn <br />exptxlite processing, please provide the information in the forma[ and order described m this form. <br />GENERAL OPERATION INFORMA'T'ION <br />Type or print clearly, in the space provided, ALL information requested below. <br />t. Applicant/operator or companyname(nametobeusednnlxrmit): JaCkSOn COUritV ROad aril BrldgeL~ <br />LI 'fypeolurganizatiun(c;orpnretion,pnrtnc~ship,e[c.):COUrity, Local-Government, Corporation <br />2. Operatton name (pit. mipe or ake name): BLM West Gravel Plt <br />3. Permitted acrca¢e (new or esiatin¢ site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage N Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />45 Conversion [o 112 operation (se[ by stam[e) <br />~. Primary rommoditie(s)to be mined: Sand Gravel <br />$.I Incidental commoditie(s) to he mined: L Ibs/I'ons/vr <br />3. / lbslfonshT 4. / Ihs/Ton <br />8 3 permitted acres <br />acres <br />8 3 acres <br />$2.344.00 application fee <br />$2.906.00 quarry npplicmion <br />$1.938.00 amendment fee <br />$2.344.00 conversion fee <br />2. / lhs/Cons/yT <br />5. / Ibs(Ibns7 t <br />5.2 Anticipated end use of primary wmmodi[ie(s) to be mined: C o U R t V R o a d S U r f a C i n Q <br />5.3 Anticipated end use of incidental wmmodi[ie(s) to be mined: <br />Office of Office of Coloado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />