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,rG( <br /> COi <br /> �$ COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> * * 1313 Sherman Street,Room 215,Denver,Colorado 80203 Phone(303)866-3567 <br /> � <br /> TECHNICAL REVISION (TR) APPLICATION <br /> FOR INTERMITTENT STATUS RECEIVED <br /> (mining activities occur each year, for less than 180 days each year) <br /> Today's date: <br /> October 3, 2016 ACT 112019 <br /> DIVISION OF RECLAMATION <br /> Permit number: M- 1 978-009 site name:Apache Mine , .._ ^ R'.In P,Acr-7Y <br /> County: El Paso TR number: 77 (DRMS use only <br /> CIZPermittee making request: General Shale Brick, Inc. <br /> Operator(if other than permittee): <br /> Date intermittent status begins: 9/29/201 6 <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: 70.7 <br /> Amount of financial warranty (bond) on deposit with the state: $ 1 81 ,1 61 <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 /> 11 Oc, 11 1, 112 construction <br /> materials, and 112 quarries $216 <br /> 112 hard rock (not DMO) $175 ❑ <br /> 1 IOd, 1 12d(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: <br /> _ 2 il :::x <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 /> �l Annual Fee and Report -CW <br /> �l No Violations <br />