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05 -06S <br />RSCEIVO <br />G� - tAAI js�i I <br />i lvlMN OF EKLAMAWK MIKM AND &OVY DiviV-a� W 4�1 Ve j) <br />Deparon�entef Pga,wi toaoun:rr <br />1313SwaW St, ttoorn21S JAN 2 5 2011 <br />Deer, Cabrado W= COLORADO <br />t� W 00 x663567 CONSTRUCTIOI�I MMA? j JUNr TION FIE Lp OFFICE IRE 1CUIMATCON <br />FAX: X411 83"106 REGULAR (112) OPERT DIVISION OF MINING <br />RECLAMATION PERbIIT APPLICA�& �JUNING d SAFM SAFETY <br />0i! Rine ,X <br />CHECK ONE: ❑ There is a Isle Number Already Asdg ned to this Op=d= Gava+ar <br />(Please reference the f k number c umwdy assigned to this opentioa}.cusMe oGedo. <br />New Application (Rabe 1.4.5) Auuendmont Application (Rule 1.10) ft" w CA-W <br />t>�Yhim Meow <br />X Canvershon Applicagea (Brie 1. i 1) ftT„ow <br />Pandt # M -2005, �// ( de for Amendsnmtt and Convardons of rum peimiaa) <br />M- 2.010 -31 <br />The won fOr a C.=Onmd= iV Wedab Regular l I2 Operadan P"lamad= Pramit c.ftj s *see mtu* pacts: (1) the application <br />fonm; (2) Falubib A -S. AdderA=1, any sections ofFxhibit 6.5 (Geotechmcd Stability Exhc'bit; and (3) the jWhcstion foe. Wbon yule <br />submnt yow application, be swe to include one (1) comnleoe sired and noterized ORIGINAL and time (1) copy of the completed <br />application gym, two (2) eopinoffthg ibA,S, Addaadum -1,appn>priate sectionsof6S (GeOtachnicst StabilityEzh¢"* andadwkfor <br />the application fee deambed under Section (4) below. Exhibits should NOT be bound or in a 3 AaS binder; maps shooed be folded to <br />8112" X I i" or $1/2" X 14" size. To expedite processing, pksse peovide the informs ran in the farmst and otdar descnbed in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print eleariy, in the space provided, AL information requested below. <br />1. Aon ica„ Sj4ger# jgrorcgWvnamefnalopu4 •tobegadonulermitl: UAner Animas Sand & Gravel <br />1.1 Type of arganizatian (eon x=tjon, park ax*, eta.): D r i era t P T. a n A ny "r <br />2 . Upper Animas Sand & Gravel Pit I & 2 <br />3. ells rmitted wr+om (sew or exiftS .stet <br />3.1 Change in acreage ( +) <br />3.2 Toed armage is Permit area <br />4. F: <br />4.1 New Application <br />4.2 New Quay Application <br />4.4 An endment Fee <br />4.5 C.onvmvion do l l2 opmd= (wtby sadrte) <br />S. him= sac daediti Mtobemilea: Sand & Grave <br />5.1 bddenW'commodWgs) to to mined 1. - 1bslTensJvr <br />slam application fee <br />ryapplication <br />,09 meoi �emfee <br />Z 9 conversioan fee <br />2. -- - /y <br />S. <br />5.2 Aatiapetodenduaeofpdmarycom :rain s)wbaminod:Poad material, Leach Field Material <br />5.3 A edenduwofimci�wmwdWc (s)wbemWeponcrete, Rip Rap, Decorative Rock <br />Oflio <br />Mked LVW R d nofon Denver • Gera k1 junckn • DwwW Aaive Mines <br />