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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />* ** 1313 Sherman Street, Room 215, Denver, Colorado 80203 Phone (303) 866 -3567 <br />Ig�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 a,s / aD13 <br />Permit number: M- ;R©al- Site name: Seluee1 Gra,el 1,'4 <br />County: C / b -rf TR number: (DRMS use only) <br />Permittee making request: C/ b e r f Co u "t y (t �- a <br />Operator (if other than permittee): <br />Date intermittent status begins: 1 b l 2 of `l <br />Reason mining activities (materials extraction, processing, or hauling) will occur less than 180 days per year: <br />a�iL s L, e- C -tnnof 114,1 rl�,4 CL Kf:!at, <br />W P ca v e 9' -c ce L o ca T /a - l5 a!ox s a y a or 0,. -h 0 1= f h (,.f <br />Number of affected acres: 10 a CrC5 <br />Amount of financial warranty (bond) on deposit with the state: $, <br />41A <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 Required TR fee Submitted (mark only one) <br />110c, 111, 112 construction <br />materials, and 112 quarries $216 <br />112 hard rock (not DMO) $175 ❑ <br />110d, I I2d(l, 2 or 3) $1,006 ❑ <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. REColmn <br />Operator's signature: �L Azz— DEC 18 2013p-' <br />Please note: Division of Rgg��eciamation, <br />1. While in intermittent status, the operator must continue to comply with the Rules and A�ct;�iti�clu�nng <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. A e�7-- <br />XZ . /2 o .,��. , ��.L o 1. L>—fl! �, I <br />