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P - 2.00 003 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY c� ✓ <br />Department of Natural Resources /"* <br />t 3113 Shem%n St., Room 215 C O LO AD O <br />Denver, Colorado 80203 D I V I S I O N Of <br />N Phow.. UM) 866-3561 CONSTRUCTION MATERIALS M I <br />RA L S <br />FAX: (303) 832-8106 REGULAR (112) OPERATION ' ,Y/ G E O L O G Y <br />RECLAMATION PERMIT APPLICATION FORITI aE SAFETY-SCIENCENa <br />Bill Owens <br />Gorman <br />CIECK O There Is a File Number Alreldy Assigned to ibis Operation Rauell eeolee <br />Permit I, (Please reference the file number cxurently assigned to this operation) Eaeoltive Dlleuor <br />Ronald W. Gaany <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Division oileaor <br />Conversion Application (Rule 1.11) NOW Resounx Tnntae <br />Permit # iii _- - (provide for Amendments and Conversions ofexisting pennies) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (l) the application form; <br />(2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechoical Stability Exhibit; and (3) the application foe. When you submityour <br />application, be on to include one (1) complgte sig !W4 n2igiNd ORIQML and one (1) copy of the completed application farm, two (2) <br />copies of Exhibits A -S, Addendum 1, appropriate sections of6.3 (Geotechtucal Stability Exhibit, and a check for the application fee described <br />under Section (4) below. Exhibits should = be bound or in a 3 -ring binder, maps should be folded to 81 R" X I 1 " or 8 1/2"X 14" size. To <br />expedite pro sing, 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 previded, ALL Information minested bellow. <br />1. rat r r a n be on Sal rr --'auj im <br />1.1 Type of organization (corporation, partawship, etc.): roe-polo, O <br />2. OnemtIm name (a mine or site name); �a rkeft — !J to yea m &,SO 04 C C- y <br />3. PeurMkted ticrease (acct or existing site): <br />permitted acres <br />5.3 Anticipated end use of incidental commodities) to be mined: <br />office of Office of Colorado <br />Mined tartd Reclamation Active and Inactive Mines Geological Survey <br />IEQ <br />3.1 <br />Change in acreage ( +) <br />p E-C EIV <br />acres <br />3.2 <br />Total acreage in Permit area <br />Tel AAll n� <br />6 � <br />,A5` 0 <br />.5Q <br />3 acres <br />4. fM: <br />4.1 <br />New Application <br />feat <br />52.344.00 <br />application fee <br />4.2 <br />New Quarry Application <br />Division at Minerals and <br />1-2,906,00 <br />quarry application <br />4.4 <br />Amendment Fee <br />$1.938-00 <br />amendment fee <br />4.5 <br />Conversion to 112 operation (set by statute) <br />$2,344.00 <br />conversion fee <br />5. Pftm>ry <br />eommodhkW to be mined: S_ <br />� <br />5.1 <br />Incidental commodities) to be mined: 1. <br />Rwr 2. _ <br />/ lbsrl'onslvr <br />3. 1 lbsffonslyr 4. <br />L lbsrronshrr 5. <br />1 Ib <br />o <br />5.2 <br />1 <br />Anticipated end use of primary conmmoditie(s) to be mined: &n S�i ✓C1 {I®s-J <br />MLt t°Ltra <br />5.3 Anticipated end use of incidental commodities) to be mined: <br />office of Office of Colorado <br />Mined tartd Reclamation Active and Inactive Mines Geological Survey <br />