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iiiuiiiiiiimiii <br />• <br />STATE OF COLORADO <br />• DIVISION OF MINERALS AND GEOLOGY <br />Dcpanment of Natural Resources <br />1113 Sherman 51., Room 215 ~~/r~~'~ <br />Demcr, Colorado 80203 L`// ~D <br />F'h~nc. 13031 866 3567 <br />FA%~IS031832-8106 <br />PR 1 R 2000 <br />CONSTRUCTION N7ITERIALSn~~M)~er~I$gggOlogy <br />REGULAR OPERATION (112) . <br />RECLAMATION PERMIT APPLICATION FORK <br />I~~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Roy Romer <br />Gov¢rnor <br />lames 5. lochheatl <br />Executive Director <br />michael B. Long <br />Division Director <br />CHECK ONE: X New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit ~ - -_ (provide for Amendments and Conversions of <br />existing permits) ;./~ `~~Q~ "1 <br />The application for a Regular 112 Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical <br />Stability Exhibit; and (3) the application fee. When you submit your application, be sure to <br />include one (1) complete sinned and notarized IVORY ORIGINAL and four (4) copies of the completed <br />ivory application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 <br />(Geotechnical Stability Exhibit, and a check for the application fee described under Section (4) <br />below. Exhibits should not be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" <br />1/2" X 14" size. To expedite processing, please provide the information in the format and <br />r described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly in the space provided the information requested below. <br />1. Applicant/operator or company name (name to be used on permit): <br />Rocky Mountain Materials and Asphalt, Inc. <br />1.1 Type of organization (corporation,. partnership, etc.): Corpo a ion <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Operation name (pit, mine or site name): rn~s'^~~P <br />3. Permitted acreage (new or existing site) 200 permitted acres <br /> 3.1 Change in acreage (+ or -) acres <br /> 3.2 Total acreage in Permit area 200 acres <br />4. Fees• <br /> 4.1 New Application 51,875.00 application fee <br /> 4.2 New Quarry Application ~ 52,325.00 quarry application <br /> 4.3 Milling Application (Non-DMO) 53.100.00 milling application <br /> 4.4 Amendment Fee 51,550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) 51,875.00 conversion fee <br />5. Primar y commoditie(s) to be mined: Sand Gravel Road Base Crushed Rock <br /> 5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr <br />~5.2 <br />5.3 <br />2. / lbs/Tons/vr 3. / lbs/Tons/vr <br />4. / Lbs/Tons/vr 5. / lbs/Tons/yr <br />Anticipated end use of primary commoditie(s) to be mined: Asphalt aggregate/ <br />Anticipated end use of incidental commoditie(s) to be mined: Decorative Rock <br />Aggiega~ <br />Construction Aggregate <br />