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STATE OF /CO, LORADO <br />DIVISION OF MINERALS AND GEOLOGY ~+~~ V ED <br />Department of Natural Resources <br />~ <br />1313 Sherman St., Room 215 /A/PR 10' 1.2,005 C O L D RA D O <br />Denver, Colorado 80203 /'I, „ U ~` J DIVISION O F <br />Phone: (303) 866-3567 CONSTSUCTION 1VIATERIAIS Division otptineraf M I N F,, RA L S <br />F/JC: (303) 832A706 sandGeolo <br />REGULAR (112) OPERATION '°'"`"^ ^F ~ ~`"^.ra1s k I.~"I"eY. G EEO L O G Y <br /> RECLAMAI'IONPERMITAPPLICATIONFORM 0.FCLAMATION•NINING <br />f AlFTY•f CIENCE <br />BIII Owens <br />CHECK ONE:L//--.. Then k a File Number Already Assigned to thb Operatbn eovemor <br />~/p~( /{ - 9 a - O 1 ~ Russell George <br />~ _ , _ (Please reference the file number curtently essigaed to this operation) Executive Director <br />_ New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) Dl~ifi Directory <br />__ sr COnVenbn AppllCatlOn (Ru1C 1.11) Natural Resource Tvstee <br />Permit fe ~_-S$_- 019 __ (p~de for Amendments end Convenbns of adsting permits) <br />The application for a Canstruation Materials Regular 112 Opeatiaa Reclamafion Pemtit contains thtx maja parts: (1) the application form; <br />(2) Exhibits A-S, Addrndlmt 1, a>ry sections ofExhibit 6.5 (l3eotechnical Stability Exhibit; and (3) the applicalion fee. Whm you submityaur <br />application, be sure to include one (1) complete sinned and notarized ORIGINAL and tme (1) Dopy of the oompletod applic~tionfixm, two (2) <br />copies of Exhibits A-S, Addendum 1, appropriate sedions of 6.5 (Oootechnicel Stability Exhibit, and a check for the application fee described <br />under Section (4) below, Exhibits should ]rjQ~be bound or in a 3-ring binder-, maps should be folded to 8 1 /L' X 11" or 8 I /2" X 14" size. To <br />~u P& Please provide the information in the faamat and order described in this foam. <br />OENERAL OPERATION INFORMATION <br />Type or print clearly, in the space providad,l~ information requested bebw. / <br />1. ApoUcantloceratororcompanvname(eametobeasedoncermkl:Thomas E. Curry DBA Grand Gravel / <br />I.1 Type of organization (corporation, partnership, etc.): I n d i v i d u a l f a m i l y own e d <br />1.2 I.R S. Tex I.D. No. or Social Socurity Number: <br />2. OceraHon name (ok. mine or eke Hamel: Grand Grave 1 <br />3. Pe acaeare (new or elristlnr site): `a: 9. 8 0 p~~ acres <br />3.1 Change in acreage (+) 9. 5 7 acres <br />3.2 Total acreage in Permit area 19.3 7 acres <br />4. ~ <br />4. ] New Application 52.344.00 application fee <br />4.2 New Quarry Application x.906.00 quarry application <br />4.4 Amendment Foe S 1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) 52.344.00 conversion fee <br />5. Prbnan commodkie(el to 6e mined: Grave 1 <br />5.] Inadeatslcommodilie(s)tobemined: 1. None. lbs2'~s/vr <br />3. / Ibs/I'ans/vr 4. / lbw <br />2. / Ibs~fonshlr <br />5. / lbs/IonaWr <br />5.2 Anticipated end use ofptimaryc~moditie(s)tobemined:Area Demand or 20 years <br />f• <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: Non e <br />Office of ~rn of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />