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III IIIIIIIIIIIIIIII <br />~E of coLOr~Do <br />^IVISION OF MINERALS AND GEOLOGY <br />D RECEIVED <br />npariment of N.vural Resources <br />I l I.i Sherman St., Room 21 i <br />Denver, Colorado H0203 DEC 0 4 1000 <br />Phone: 0051 n66-]ih? <br />FAx: UO]I nl:-e(Ob <br />Division of Minerals and Geology <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />L\~ ~ <br />DIVISION O F <br />MINERALS <br />& ! <br />GEOLOGY' <br />RECLAMATION <br />MINING•SAFETY <br />a~u Owens <br />Cavernrn <br />GreFE ~W lcher <br />Execwrve Diiertor <br />CHECK ONE: X New A lication Rule 1.4.5 Amendment A lication (Rule I.IO r'chael B. Lonl; <br />PP ( ) PP ~wision Direclar <br />Conversion Applicaion (Rule 1.1 I ) <br />Permit # M -,~~-~61 -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Cor¢truction Mazerials Regular 112 Operazion Reclamation Permit contains three major parts: (I) the applicarion form; <br />(2) Exhibits A-S, Addendum 1, any sectiotu ofExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application Cee. When you submit your <br />application, be sure to include one (I) complete sitmed and notarized IVORY ORIGINAL and four (4) copies of the completed Ivy <br />application form, five (5) copies of Exhibits A-S, Addendum I, 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 />GENERAL OPERATION INFORMATION <br />Type or print clearly, io the space provided, ALL information requested below. <br />Aoulicant/oceratororcomoanyoame(oametobeusedoooermitl: Fremont Paving & Redi-Mix, Inc. <br />1.1 Type of organization (corporation,partrlership,eu.): Corporation <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. <br />3. <br />Operatioooame(oit.mioeorsitenamel: McCumber Hill Pit <br />Permitted acreaee /new or existioe 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 />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditie(sl to be mined: Sand crave 1 <br />5.1 Lncidental commoditie(s) to be mined: 1. None - lbs(fonslvr <br />231.12 permi[ted acres <br />0 acres <br />231.12 acres <br />$1.875.00 application fee <br />$2.325.00 quarry application <br />$3.100.00 milling application <br />$1.550.00 amendment fee <br />$1,875.00 conversianfee <br />2. ( IbsfSonslvr <br />3. / Ibs/Tons/vr 4. / Ibs/fons/vr 5. / Ibs(fons/vr <br />5.2 Anticipa[edenduseofprimarycommoditie(s)tobemined: Construction aeereeate <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />