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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY —o' ReC�n <br />Department of Natural Resources G°�V�°+� <br />1313 Sherman St., Room 215 v <br />MAY 27 COLORADO <br />Darner, Colorado 80203 p t v t s l o n o f <br />Phone: (303) 866 -3567 20i�J$ RECLAMATION <br />FAX: (303) 632 -8106 CONSTRUCTION MATERIALS 0 /Vision t)T KeC'ama� MINING <br />REGULAR (112) OPERATION Mining and Safety b 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 o sivrman <br />Executive Director <br />Permit # M -1997- 058 -� (Please reference the file number currently assigned to this operati9PA.ld W. Cattany <br />New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) Division Director <br />Natural Resource Tnistee <br />Conversion Application (Rule 1.11) <br />Permit # M - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (l) 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 I I " 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, ALI, information requested below. <br />1. AHplicant/onerator or company name (name to be used on Hermit): Hall -Irwin Corporation <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (nit, mine or site name): Baseline Resources <br />3. Permitted acreage (new or existing site): 209.6 permitted acres <br />3.1 Change in acreage (•t•) 0 acres <br />3.2 <br />Total acreage in Permit area <br />209.6 <br />acres <br />4. Fees: <br />4.1 <br />New Application <br />.$2,696.00 <br />application fee <br />4.2 <br />New Quarry Application <br />$3,342.00 <br />quarry application <br />4.4 <br />Amendment Fee <br />$2.229.00 <br />amendment fee <br />45 <br />Conversion to 112 operation (set by statute) <br />$U%49 09 <br />conversion fee <br />5. Primary commoditie(sl to be mined: gravel sand �^ <br />_ <br />5.1 <br />Incidental commoditie(s) to be mined: I . - _ IbsfFonslvr <br />2..,_ / <br />lbs/Tons/vr <br />3. ( Ibs/Tons/vr 4. / .�_____._lhs/I'ons/X <br />5. _ ._ / _ _ <br />Ibs q"s/ r <br />5.2 Anticipated end use of primary commoditie(s) to be mined: _ Construction materials _..... — <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of - Office of <br />Mined Land Reclamation Denver • Grand )unction • Durango Active and Inactive Mines <br />