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RECEIVED <br />/oEC i ~ 2oo~TATE OF COLORADO <br />.rte, DIVISION Of RECLAMATION, MINING AND A1Y610tt Of ReClemeU(NI, <br />ff'' ~~ ~ <br />"Deparmerr of Natural Resources Mining end Safely <br />313 Sfierman 5r, Room Zr5 C O L O R A D O <br />Denver, Colorado 80203 o i v r s i o N o r <br />Phone: (3031 866-3567 CONSTRtiCTEON bIA'I'ERIALS RECLAMATION <br />FAX: i3031832~t06 (/ MIN [NG <br />RRGUI,AR (112) OPERA770N _ &_ <br />RECLAMATION PERbI11'APPLICATION FORryI SAFF,TY <br />Nat Ouens <br />Governor <br />CHECK ONE:: X There is a File Number Already Assigned to this Operation R~«en George <br />Permit p Y( _94 - 005 -_ (Please reference the file number currently assigned to this opera(hS'Ef)`"~~ orvrror <br />Ronald W. Gn;anr <br />_ New Application (Rule 1.4.5) X Amendment Application (Kole 1.10) oivislon Dlre<~ror <br />__ Conversion Applicaton (Rule I.11) Nmural Resource must <br />Permit # M - 94 _005 r~ rovide for Amendments and Conversions of existing pcrtnits) <br />The application for a Constmction Materials Regular 112 Operation Reclamation Permit contains three major parts: (t) the application <br />form; (2) Exhibits A-S, Addendum I, any sections of Exhibit 6.5 (Geotechnical Stability Hxhibi[; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete siened and notarized ORIG[N:1L and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stabitity Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should N01' be bound or in a 3-ring binder; maps should be folded to <br />8 1;?" X 11" or 8 1!2" X 14"size. To expedite processing, please provid-e thethe information in the fomtat and order described in this form. <br />GENERAL, OPERA'CION INFORMATION <br />Type or print clearly, in the space provided, ALI, information requested below. <br />1. Auolicantloperator or comoanv name (name to be used on permitlf Oldrastle SW Group: Inc. dba United Companies of Mesa County L~ <br />1.1 Type of organization (corporation, partnership, etc.): COrporati0n <br />c~t~u>re l e bk <br />T <br />2. Operation name (nit, mine or site na ~: <br />3. Permitted acreasc (new or existine sitel: <br />3.1 Change in acreage (~i-) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 Nety Quarry Applicution <br />4.4 Amendment Fee <br />4.5 Cone-ersimt to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: gravel sand <br />5.1 Incidental commoditie(s) to be mined: 1. ,_-__-_,_-___-_.____IhsiTons/~ <br />3. __, -_ i _____ lbsTions~ 4. __ i - IbsiTans(v7 <br />73.9 __- permitted acres <br />_~__ acres <br />~3. acres <br />e-~s r <br />$2_,3_44.00 " application fee <br />$2.90(1,00 yuarp~ application <br />_~I 938_00. amendment fee <br />_ 2 344.00 - conversion fee <br /> <br />5.2 Anticipated end use of primary commoditie(s) to be mined: road base, asphalt, _and concrete _ ____ ____ ___ <br />5.3 Anticipated end use oCincidental commoditie(s) to be mined: <br />Office of Offce. of <br />Mined Land Reclamation Active and Inactive Mines <br />