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TATE <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />F.PrI L//E~' ®~ <br />JUN 2 6 203 / <br />Division ~f Minerals and Geology <br />CONSTRUCTION NATSRIALS / <br />RBGIILAR OPERATION (112) (/ <br />IATION PBRNIT APPLICATION FORN <br />Roy Romer <br />Governor <br />)amen S. Lochhead <br />Executive Direnor <br />Michael B. Long <br />Division Director <br />CHECK ONE: X New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conv~~~e/rsiogqn Application (yule 1.11) <br />Permit # //// -oC~- ~J~ -/_ (provide for Amendments and Conversions of <br />T existing permits) <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 sicned and notarized IVORY ORIGINAL and four (4) copies of the completed <br />ivory application fors, 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 />or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and <br />order 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 />CARDER, INC. <br />1.1 Type of organization (corporation, partnership, etc.): CORPORATION <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Operation name (pit, mine or site name): ~~ WINDY RIDGE PIT <br />3. Permitted acreage (new or existing site) 320 ACRES permitted acres <br />3.1 Change in acreage (+ or -) acres <br />3.2 Total acreage in Permit area 320 ACRES 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) S3,100.00 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. Primary commoditie(sl to be mined: SAND GRAVEL <br />5.1 Incidental commoditie(s) to be mined: 1. - lba/Tons/vr <br />2. / lbs/Tons/vr 3. / lbs/Tons/vr <br />4. / lbs/Tons/vr 5. / lbs/TOn9/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ~ ROAD CONSTRUCTION <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: ~ L <br />