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OF co<O <br />;* COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1876 « 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: May 6, 2015 <br />Permit number: M-1980-245 <br />Site name: Hogback Mine <br />County: Douglas TR number: (DRMS use only) <br />Permittee making request: General Shale Brick, Inc. <br />Operator (if other than permittee): <br />Date intermittent status begins: 929/2014 <br />Reason mining activities (materials extraction, processing, or hauling) will occur less than 180 days per year: <br />Economic slowdown and lack of demand for mined materials <br />Number of affected acres: 43.3 <br />Amount of financial warranty (bond) on deposit with the state: $236,538 <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 />1 l Oc, 1 11, 112 construction <br />materials, and 112 quarries $216 0 <br />112 hard rock (not DMO) $175 ❑ <br />1 IOd, 112d(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. a <br />Operator's signature: <br />Please note: <br />L While in intermittent status, the op rato must continue to comply with the Rules and Act, including <br />maintaining the site, and must contin o 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. <br />