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.CO <br />*� *. COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />** 1313 Sherman Street, Room 215, Denver, Colorado 80203 Phone (303) 866 -3567 <br />/8 6 <br />TECHNICAL REVISION (TR) APPLICATION <br />FOR INTERMITTENT STATUS <br />(mining activities occur each year, for less than 180 days each year) <br />Today's date: / / 1.2-6- / ;2013 <br />Permit number: M- I do / - 0 l O Site name: l b' s o n G ra ye- / r J, -f <br />County: L I k2-c C f TR number: (DRMS use only) <br />Permittee making request: l= e r i cc, uv (3 d a <br />Operator (if other than permittee): <br />Date intermittent status begins: ! / 1/ 9-0 /q <br />Reason mining activities (materials extraction, processing, or hauling) will occur less than 180 days per year <br />Hau);M <br />ouf - tr-, <br />e t <br />1-2 C4,1.-101 <br />�cZc/ <br />Ifi0ci�ys �,ye�r, <br />cle <br />V <br />' <br />%ve cc uera 4e <br />cc t o,&%Q 3 ml -44-r <br />Ct <br />vettr oc.f <br />F <br />Number of affected acres: 9 D cr c /, cS <br />Amount of financial warranty (bond) on deposit with the state: $ /y /1 <br />Required fees for technical revision by permit type (please mark the correct fee and submit it with this <br />request for a technical revision): <br />Permit type <br />110c, 111, 112 construction <br />materials, and 112 quarries <br />112 hard rock (not DMO) <br />110d, 112d(1, 2 or 3) <br />Required TR fee <br />$216 <br />$175 <br />$1,006 <br />Submitted (mark only one) <br />Lai <br />I- <br />I request intermittent status for the above - referenced permit. This site has reserves <br />remaining to be mined. Mining activities will occur each year for less than 180 days per <br />year. <br />Operator's signature:^ F�. W,_Ie <br />Please note: <br />1. While in intermittent status, the operator must continue to comply with the Rules and Act, including <br />maintaining the site, and must continue to file an annual report and annual fee when due. <br />2. If production ceases for 180 days or more, the operator must either file a Notice of Temporary <br />Cessation, or reclaim the site. <br />