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~ ~ <br />STATE OF COLORADO <br />• DIVISION OF MINERALS AND GEOLOGY RE <br />Deuarcment or Natural Resor,rces CE- VED <br />I } t }Sherman 8c, Room '_ 1 i l~ <br />penver, Colorado 80?03 <br />Phone'(707186fi-35fi7 CONSTRUCTIONlvL4TERL4L5 ~~~ 3 0 2001 <br />FA:(. (7071 8l _ B 106 <br />LIMITED FACT (110) OPERATION Utvrsion o/Minerals and Geo <br />RECLAMATION PERh1TT APPLICATION FORbt <br />M-aodh-o--~ <br />CI-TECK ONE: There u a File Number Already Assigned to this Operation <br />L~~ <br />DIVISION ~ <br />MINERAL <br />&- <br />GEOLOG <br />0. EC LAM AilO <br />MINING•SAF E1 <br />Bll Owens <br />Governor <br />Greg E. eValche. <br />E..ecwrve Dvecror <br />~`mchael a Lang <br />Permit # M -_ _ _ (Please reference the file ntunber currwtly assigned to this operation) D~~+s.on Director <br />R New Application (Rule 1.45) <br />Conversion Application (Rule I.I I) <br />,Amendment Application (Rule (.IO) <br />Permit # ~-_ _ _ (provide for Amendmevb and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (I) the <br />application form; (2) Exhibits A-J, E.xhrbit I, Addendum 1, any sections of Exhibit 65 and Geotechaical Stability Exhrbit, as required by the <br />Office, and outlined m Roles 6.1, 6.2, 6.3, 6.5, and 1.6.2(7)(6); mmd (3) the application fee. When yon submit your applicators, be sure to <br />include one (1) complete sitmed mmd notar¢ed IVORY ORIGINAL mmd arse (1) copy of the corr>pleted [vim apphca[ioa form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addrndtrm 1, and appropriate sections of 6.5 (Geotechaical Stability Exhibit), as required, and a check for the <br />• application fee desrnbed under (4) below. Exhibits should NOT be bound or is a 3-ring border, maps should be folded to 8 1/2" X I l" or <br />8 l2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION 1NFORMATION <br />Type or print clearly, iv the space provided, ALL Information described below. <br />Avvlicavt/ooentar or rnmvavy name (name to be used ov vermit): <br />United Companies of Mesa County, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): <br />I.2 I.RS. Tax 1D No. or Social Security Number: 2.: <br />Corporation <br /> <br />2. Overatiovvame(nit-miveorskevame): Piceance Pit <br />3. Permitted acrca¢e (new or eiistin¢ site): <br />3. I Change is acreage (+) <br />Total Acreage in Permit Area <br />4. Fees: <br />4. { New Application: <br />Amendment Fee (C.R.S. 34-32.5-I25(II)): <br />4.2 Conversion Fee (from 110d to 110 8E 7i,00 conversion fee (Rule 1.11.2(2)) <br />~. Primary commoditie(s) to be mined: Sand Gravel <br />9.93 permined aces <br />acres <br />9.93 acres <br />1094.00 application fee <br />5719 00 application fee <br />69,500 TonslYr <br />• 5. l Incidental commoditie(s) to be mined: I. / Ibs/I'oaslvr 2. / Ibsll'ous/vr 3. / Ibs/Tons/vr <br />4. / Ibs/fooslvr 5. / Ibs/Tovs/vr <br />5.2 Anticipated rnd use of primary commoditie(s) to be nursed: Road Surfacing <br />III lllllllllllll IIl ~ <br />Anticipated end use of incidental commoditie(s) to be mined: <br />