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<br />,~'I - boa ~ - n/3 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources ~ F-- / <br />1313 5hertnan 5t., Room 115 C~®VE® C O L O RAD O <br />DerrVer Colorado 80207 D I V I S I O N O F <br />FEBO MINESRALS <br />Phone: (3031 eH.3567 CONSTRUCTION MATERIALS pppCQ <br />FA%: (3031832~t0R REGULAR (112) OPERATION ~ 1UOp G E O L O G Y <br />RECLAMATION. MINING <br />R.ECLAMATIONPER1141.1'APPLICATIIQIYrB~~MineralsaadGeolO sAEE,gy-- <br />Rill Owens <br />Governor <br />C[-If:CK OM?: ~_, There in a FLIe Number Already Assigned to thin Operation Russell George <br />Permit # M •_ _ _ (Please reference the file number currrntly assigned to this operation) &ew""` Dlrettor <br />X Ronald W. Camny <br />New Application (Rule 1.4.5) _ Amendment Application (Rule 1.16) Division gredor <br />_____ Coaveroinn Application (Rule 1.1 1) Natural Resource Trustee <br />Permit # M -_ ~ _ (provide for Amendments and Convcroions of existing permits) <br />The application for a Constnrction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3j the application fee. When you submit your <br />applicalioq he sure to include one (q complete limed and notarized ORIGIIVAL and one (1) copy of the completed application font, lwo (2) <br />copies of Exhibits A-S, Addendum 1, appropriate sections of G.5 (Geotechnical Stability Exhibit, and a check Cor the application fee desaib~ <br />under Section (4) below. F.,+c}sibits should NOT be hound w in a 3-ring binder; maps should be folded [0 8 112" X l ] " or 8 12' X 14"size. To <br />expedite processing, please provide the information hr the format and order described in this forth. <br />GENERAL OPERATION INFORMAT70N <br />Type or print Beady, in the space provided, ALL iuformation requested below. <br />L Applicsot/oaeratororcomoaavname(nametobeusedoaDermi~:PC1Stern Colorado L~gregate5, LLLP <br />Ll Type oforgaruzation(corporation; partnership,eicJ:Li[rilted Liability Partnership <br />2 Ogerationname(oit.mineoraiteoame): Potts Pit #2 <br />3. Permitted acrtaee (new or enialine stte): ~ ~ permitted acres <br /> ~ <br /> 3.1 Change in acreage (+) acres <br /> 3.2 Total acreage in Permit area 49 acres <br />4. Fees : <br /> 4.1 New Applicatiem $2.344.00 application fee <br /> 4.2 New Quarry Application $2906.00_ quarry application <br /> 4.4 Amendment Pec $ 1938.00 amendment fee <br /> 45 Conversion to 112 operation (set by statute) $2 344 00 amversion fee <br />i Pr{m ary rnmmodhie(sl to be mined: Gravel Sand Borrow _ <br /> S.l Incidental ccttnmoditie(s) to be mined: 1. ~ Ibs/I'onshT 2. ~_,/ lbs/1'ons/vr <br /> 3. ~ / Ibs/Tons/~r 4. ~ 7 lhs/['ons/y2 S. ~ / Ibsl1'ons t <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: Bfl52COUTSe and asphalt agg regates <br /> 5.3 Anticipated ens use of incidental commoditie(s) to be mined: none <br />Office of Ofice of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geobgipl Survey <br />