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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />*x,876, 1313 Sherman Street, Room 215, Denver, Colorado 80203 Phone (303) 866-3567 <br />RE <br />JUN 3 0 2015 TECHNICAL REVISION (TR) APPLICATION <br />FOR INTERMITTENT STATUS <br />DIVISION OF RECLAMATION (mining activities occur each year, for less than 180 days each year) <br />MINING AND SAFETY <br />Today's date: o f <br />Permit number: M-_ /g93 — 6a 7 Site name: <br />County: Cu s l er— TR number: (DRMS use only) <br />Permittee making request: a° 0,4E r re); Z_LL <br />Operator (if other than permittee): _K�e o 56 2 6i-C,h <br />Date intermittent status begins: <br />Reason mining activities (materials extraction, processing, or hauling) will occur less than 180 days per year: <br />Number of affected acres: <br />Amount of financial warranty (bond) on deposit with the state: $ _ o�S; GGC� , 6 U <br />AF & Report <br />No Violations <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 IOc, 111, 112 construction I� <br />materials, and 112 quarries $216 <br />112 hard rock (not DMO) $175 ❑ <br />110d, 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. <br />Operator's signature• C --- <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 />Cessation, or reclaim the site. <br />