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<br />STATE OF COLORADO <br />DIVISION OF RECLAMA710N, MINING AND SAFETY <br />~ c~ <br />Department of Natural Resources ~ <br />n <br />/ <br />I- ~ ' ~--~~ <br />~ ~;>,~- <br /> <br />t 313 Sherman 51., Room 215 J <br />II r .._. <br /> <br />Denier, Colorado 80103 <br />i - C O L O R A D O <br />b i v i s t p N o r <br />Phone: (303) 6664567 CONSTRUCTION MATERIALS ~<(; ( ~ <br />~~ ~i~ RECLAMATION <br />rAx: 1703)B32~8106 <br />REGULAR (112) OPERATION .:Q <br />bivis'~ MINING <br /> ,i ci ~~;. -&- <br /> RECLAAIATION PERMIT APPLICATfON FORM] and Saf <br />i <br />o~ SAFETY <br /> e <br />y <br />eni owe,: <br />Governor <br />CHECK ONE: X There is a File Number Already Assigned to this Operation avmxu ee:orge <br />Pemtit # ~f -2001 O3 `~!-~(Please reference the file number currently assigned to this operafC~i~"'~ o~retror <br />Ronald W. Cattarry <br />New Application (Rule 1.4.5) _~ Amendment Application (Rule 1.10) pivifiun oVrMmr <br />,Conversion Application (Rule L l 1) Naval Rewu¢e Trance <br />Permit # M -3_QQ_1- 035 -- (provide for Amendments and Conversions of existing petrttifs) <br />The application for a Construction Materials Regulaz 112 Operation Reclamation Pemtit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete simed and notarized ORIGINAL and one (])copy of dte cotttpleted <br />application Corm, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check far <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; ttlaps should be folded to <br />8 1!2" X 11" or 8 l/2" X 14"size. To expedite processing, please provide the information in the format and order described in this form <br /> GENERAL OPERATION LNFORMATION <br /> Type or print clearly, in the space provided, ALL information requested below. <br /> Y~'- <br />1. Aoo licanUoperator or company oarrce (name to be used on permit): Aca Products , Inc . ~~ <br /> Ll Type of organization (corporation, partnership, etc.): COT~OTdtiori <br />2. Operation Dame (pit, mine or site panic): TTOUt Creek Pit <br />3. Permitted acreage (new or existlng site): 75.8 pemtitted acres <br /> 3.1 Change in acreage (+) 20 acros <br /> 3.2 Tatal acreage in Permit area 95.8 acres <br />4. Fees : <br /> 4.1 New Application $2.344.00 application fee <br /> 4.2 New Quany Application $2.9(16.00 quarry application <br /> 4.4 Amendment Fee $1938.00 amendment fee <br /> 4.5 Conversion [0 112 operation (set by statute) 52.344.00 conversion fee <br />5. Primary rnmmoditle(sl to be mined: fill sand `__ _ <br /> 5.1 Incidental commoditie(s) to be mined: I. Ibsl1'ons;vr 2. / _ Ibs/f~ uns/vr <br /> 3.. / Ibsll'ons/vr 4. i IbsrTons/vr 5. / Ibsll'onslvr <br /> 5.2 Anticipated end use of primary cmmtladitie(s) to be mined: COri5tTt3et10ri fill s3Dd <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: __ ___J <br /> Office of Office of <br />Mined land Ree;lamation Active and Inactive Minez <br />