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~~~es c, <br />~b~ <br />RECEIVED STATE OF COLORADO <br />~D~. DIVISION OF MINERALS AND GEOLOGY /RECEIVED~ <br />Department of Natural Resources Division of Reclamation, ~O\ <br />• 13735hemran54,Room215 ~ MininpandSafety GN gEp 11'[006 COLORADO <br />Denver, Colorado 80203 DIVISION O F <br />Phone: (303) 8663567 colvsTRUCTioN MATERIALS pivision of Reclamatio MINERAL S <br />r~ <br />FAX: (3031832-a106 ~~REGULAR (112) OPERATION Mining and Safety G E O L O G Y <br />RECLAMATION PERMIT APPLICATION FORM fff6ffTY!SC,fNCfnC <br />Bill Owens <br />Goverrwr <br />CHECK ONF.: X There is a File Number Already Aeaigiaed to thin Operation <br />Russell George <br />Permit # M -_ -_ (Please reference the file ntmrber ctttrently assigned to this operation) &eertive Director <br />New A lication Rule 1.4.5 Amendment A lication Rule 1.10 Ronald w. Canany <br />PP ( ) PP ( ) Division Director <br />__~ Converebn Applic/tion (Rule 1.1 I) Natant aesourte Trustee <br />Permit # T•1 ? 984 -043'! (provide for Amendments and Conuersbns of existing r^rmits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (q the application form; <br />(2) Exhibits A-S, Addfmdum I ,any sections of Exhibit 6.5 (Geotechrlical Stability F.xhibih and (3) the application fee. When you submityxntr <br />application, be sure to include one (I) complete sietfed and notarized ORIGINAL and one (I) copy of the wmpleted application form, two (2) <br />copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geoteclulical StabiliTy Exhibit, and a check for the application fee destribed <br />tender Section (4) below. Exhibits should NOT be twwrd or in a 3-ring binder; maps should be folded to 8 1 /2" X 11" or 8 12" X 14" size. To <br />expfxlite processing, please provide the information in the format and order described in this form. <br />GENF,RAL OPERATION <br />Type or print clearly, in the spatt provided, ALL information requested below. <br /> 1. Applieantlooerator orcom0anv name (name to be used on DermiN: Pel iri0 a InC. // <br />• o <br />n <br />1.1 Type of orgertization (corporatio^, partnership, etc.): COrporat i <br /> // <br />/~ <br />~ <br />ig <br />L <br />- <br /> ~ r <br />ee ,p <br />2. ODeratbn same (Dit, mine or site name: Jesse <br /> 3. Permkted acreaae (new or exiatin$ site): 9.8 permitted acres <br /> 3.1 Change b acreage (+) RECEIVED 6.6 -acres <br /> 3.2 Total acreage N Permit area ~ 6.4 acres <br /> JUL 1 2 2006 ~'' <br /> 4. Fees: <br /> 4.1 New Applicatirm <br />idi0n 1t Minerals and Ge010~y <br />Di $2,344.00 application fee <br /> v <br />4.2 New Quarry Application $2,906 00 quarty application <br /> 4.4 Amendment Ftx: $1 938_00_ arnendm•:nt fee <br /> 4.i Conversion [o 112 rperation (set by statute) $2.343.00 cfttrversion fee <br /> i. Primary comroodi[Ie(s) to be mined: sand gravel <br /> 5.1 Incidental commoditie(s) to he mined: 1. - Ibs/fons/vr 2. / lbs/3'onshT <br /> 3. / Ibslfonshr 4. / IbsJTons/Kr 5. / Ibs/7'ons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)[obemined: construction mat erials <br /> 5.3 Anticipated end Ilse of incidental commoditie(s) to be mined. <br /> <br />• ~re of Office of Colorado <br /> Mimed land Rxlamation Aotlve and Irnc[ive Mines Geologiral Survey <br />