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L.,, <br />co <br />ET O <br />N <br />1876 <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203 Phone (303) 866 -3567 <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- 30-2014 O/ <br />Permit number: M -1984 -134 Site name: Randy Shaw <br />County: P rowe rs <br />Permittee making request: Prowers County <br />Operator (if other than permittee): <br />Date intermittent status begins: 2-1-2014 <br />RECEIVED <br />FEB 18 2014 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />TR number: (DRMS use only) <br />Reason mining activities (materials extraction, processing, or hauling) will occur less than 180 days per year: <br />Remote Location for Prowers County to mine in. <br />Number of affected acres: <br />Amount of financial warranty (bond) on deposit with the state: $ <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 />I IOc, 111, 112 construction <br />materials, and 112 quarries $216 ❑ <br />112 hard rock (not DMO) $175 ❑ <br />1 IOd, I I2d(1, 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. <br />Operator's signature:! / <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 />C sation, or reclaim the site. <br />E' ,d_,L - <br />