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:514,6/1?l <br />DIVISION OF RECLAMATION, MINING AND SAFETY <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 />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />divlq5 <br />SPATE OF COLOPADO <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr. <br />Governor <br />CHECK ONE: ❑ There is a File Number Already Assigned to this Operation <br />1,997 065 Harris D. Sherman <br />' <br />Pe�i M - - (Please reference the file number currently assigned to this operatioa}ecutive Director <br />u New Application (Rule 1.4.5) j Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M _ 1997 _ 065 <br />(provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL 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 Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3 -ring binder; maps should be folded to <br />8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />1. Applicant/onerator or company name (name to be used on permit): STONE WHOLESALE, INC. <br />1.1 Type of organization (corporation, partnership, etc.): COPORATION <br />2. Operation name (pit, mine or site name): <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage ( +) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: sawn stone <br />5.1 Incidental commoditie(s) to be mined: 1. crushed <br />3. / <br />Office of <br />Mined Land Reclamation <br />lbs/Tons/yr 4. / <br />BROWNSTONE QUARRY <br />58.75 <br />RECEIVED 3.031 <br />AUG 15 2011 <br />Division) of r cl hon, <br />Mining and Safety <br />dRiGJAA-1_. <br />wall blocks veneers <br />lbs/Tons/vr 2. <br />lbs/Tons/yr 5. <br />5.2 Anticipated end use of primary commoditie(s) to be mined: landscaping <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: construction materials <br />Denver • Grand junction • Durango <br />61.7$ <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />permitted acres <br />acres <br />acres <br />$2,696.00 application fee <br />$3,342.00 quarry application <br />$2.229.00 amendment fee <br />$2,696.00 conversion fee <br />lbs/Tons/vr <br />lbs/Tons/yr <br />Office of <br />Active and Inactive Mines <br />