REV09246

• Permit No: M1979089
• IBM Index Class Name: Revision
• Doc Date: 12/15/1997
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION RECLAMATION PEMRIT APPLICATION FORM
• Type & Sequence: AM2
• Media Type: D
• Archive: No

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TATS
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COLORADO
DIVISION OF MINERALS AND GEOLOGY
De
anment of Naru ral Resources _
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1313 Sherman Sl., Room 215
Denver
Colorado 80203 I~~v Q
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FA%: [phone] pn1~iDD cl , „fl DEPARTMENT OF
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CONSTRIICTZON MATERIALS
REGIIr.sa (11Z ) OPERATION Roy Romer
RECLAMATION PERMIT APPLICATION FORM Governor
lames 5. Lochhead
Executive Director
Michael B. long
D,vis ion Director
CHECK ONE: New Application (Rule 1.4.5) ~ Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # ~_-~2- 089 -_ (provide for Ameadmeate and Conversions of
existing permits)
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains
three major parts: (1) the application form; (2) Exhibits A-S, Addendum 1, any sections of
Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your
application, be sure to include one (1) complete sinned and notarized IVORY ORIGINAL and four (9)
copies of the completed Ivory application form, five (5) copies of Exhibits A-S, Addendum 1,
appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee
described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps
should be folded to 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.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information requested below.

1.
Ap - ------------------------------------------------------
plicant/operator or company name (name to be used on permit):
Grand Junction Pine & Supply Co.
1. 1 Type of organization (corporation, partnership, etc .): Corporation
1. 2 I.R.S. Tax I.D. No. or Social Security Number:
2. Op eration name (pit, mine or site name): 23 ROAD PIT
3. Permitted acreage (new or existinv site): 55.4 permitted acres
3. 1 Change in acreage (+ or -) 19.7 acres
3. 2 Total acreage in Permit area 75.1 acres
4. Faes:
4. 1 New Application $1,875.00 application fee
4. 2 New Quarry Application $2,325.00 quarry application
4. 3 Milling Application (Non-DMO) $3,100.00 milling application
4. 4 Amendment Fee $1,550.00 amendment fee
4. 5 Conversion to 112 operation (set by statute) $1,875.00 conversion fee
5. Primary commoditie(s) to be mined: Sand & Gravel
5. 1 Incidental commoditie(s) to be mined: 1. 75.000 - 1}kYs/Tons/vr
2. / lbs/Tons/yr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. / lbs/Tons/vr
5. 2 Anticipated end use of primary commoditie(s) to be mined: Construction Materials
5. 3 Anticipated end use of incidental commoditie(s) to be mined: