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0 <br />C <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources F <br />Room 215 NOV 2 5 2 011 C O L D EL A D 0 <br />Den Sherman <br />Denver, Colorado do 80203 N <br />Phone: (303) 866 -3567 o t v t s t o N o f <br />FAX; (303) 832-8106 CONSTRUCTION vIA'r'RI.�)S ` t' `°i, OFFICE RECLAMATION <br />0':'i. 0i MINING <br />REGULAR (112) OPERR�Q?t—&— <br />1,10ON MAING 8 SAFM SAFETY <br />RECLAMATION PERMIT APPLICATION FORM <br />Bill Ritter, Jr. <br />Govemor <br />CHECK ONE: There is a File Number Already Assigned to this Operation Harris D. Sherman <br />Permit # M (Please reference the file number currently assigned to this opera ti Executive Uire�{at � , IDirector or <br />W. Cattany <br />X New Application ('Rule 1.4.5) Amendment Application (Rule 1.10) Division Director <br />Conversion Application (Rule i.l i) Natural Resource Trustee <br />Permit /t ICI - - (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, AI.I, information requested below. <br />I. Applicant /operator or company name (name to be used on permit): Western Gravel , LLC <br />I.I Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): WRC Gravel Pit <br />3. Permitted acreage (new or existing site): <br />191.83 <br />permitted acres <br />3.1 Change in acreage (-1•) <br />acres <br />3.2 Total acreage in Permit area <br />1 91.83 <br />`�– acres <br />4. Fees- <br />4.1 New Application <br />52.696.00 <br />application fee <br />4.2 New Quarry Application <br />53,2.00 <br />3452,229.00 <br />quarry application <br />4.4 Amendment Fee <br />amendment fez <br />4.5 Conversion to 112 operation (set by stsnurl <br />52,696.01) <br />conversion fee <br />5. Primary cotmnodide(s) to be mined: Gravel <br />5.1 Incidental commoditic(s) to be mined: 1.2 50,000 _(bs, I= ansiyr <br />2 _ _ <br />_lbs.'fons /vr <br />3. ! 1bs/Tons/vr 4. _ �_ ._� _ 1hS,ronS <br />5. _•-- .._.__ _ _ <br />IbsiTons(yr <br />5.2 Anticipated end use of primary commodities) to be mined: Road Baser <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of <br />Mined Land Reclamation <br />Denver . Grand Junction • Durango <br />Office of i <br />Active and Inactive Mines <br />r <br />